Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.09 / $225.09 / $225.09	Facility		$225.09	$225.09	$225.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $59.38 / $89.59	Professional		$44.94	$59.38	$89.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $49.16 / $57.83	Professional		$41.78	$49.16	$57.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $63.30	Facility		$63.30	$63.30	$63.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $66.15 / $104.78	Professional		$48.76	$66.15	$104.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.83 / $68.89 / $105.56	Facility		$47.83	$68.89	$105.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $83.00 / $87.00	Professional		$40.00	$83.00	$87.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $45.34 / $61.81	Professional		$29.52	$45.34	$61.81
United Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $62.93 / $100.16	Professional		$51.41	$62.93	$100.16