Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $77.62	Facility		$75.86	$75.86	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $169.82	Professional		$75.86	$89.13	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $109.65	Professional		$75.86	$87.10	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $234.42	Professional		$91.20	$131.83	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $194.98	Facility		$77.62	$123.03	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $85.11 / $117.49	Professional		$33.11	$85.11	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $169.82	Professional		$87.10	$109.65	$169.82