Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $204.17	Professional		$117.49	$154.88	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $190.55	Professional		$125.89	$158.49	$190.55
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $229.09 / $229.09	Professional	25	$144.54	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $213.80	Professional		$131.83	$169.82	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $302.00	Facility		$117.49	$169.82	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $281.84	Professional		$138.04	$173.78	$281.84