Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $102.79 / $147.55	Professional		$87.26	$102.79	$147.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $104.30 / $104.30	Professional		$102.54	$104.30	$104.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $127.81	Facility		$127.81	$127.81	$127.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $120.03 / $186.93	Professional		$93.10	$120.03	$186.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $129.79 / $188.00	Facility		$89.31	$129.79	$188.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $148.00 / $154.00	Professional		$80.00	$148.00	$154.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $85.91 / $116.36	Professional		$60.52	$85.91	$116.36
United Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $112.73 / $172.90	Professional		$93.54	$112.73	$172.90