Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $63.10	Professional		$20.89	$26.92	$63.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	25	$40.74	$40.74	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $53.70	Professional		$23.44	$34.67	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $67.61	Professional		$27.54	$36.31	$67.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.18 / $46.77	Facility		$21.38	$28.18	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
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 $23.44 / $29.51 / $43.65	Professional		$23.44	$29.51	$43.65