Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $13.38 / $29.96	Professional		$10.76	$13.38	$29.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $32.29 / $32.29 / $32.29	Professional	25	$32.29	$32.29	$32.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.57 / $16.57	Professional		$10.84	$16.57	$16.57
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $24.86 / $24.86 / $24.86	Professional	25	$24.86	$24.86	$24.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $17.47 / $28.71	Professional		$14.84	$17.47	$28.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $15.92 / $23.98	Facility		$10.76	$15.92	$23.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $16.91 / $36.47	Professional		$13.28	$16.91	$36.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $15.52 / $23.52	Professional		$12.51	$15.52	$23.52