Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.90 / $72.90 / $80.19	Facility		$72.90	$72.90	$80.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $73.25 / $84.05	Professional		$62.52	$73.25	$84.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.80 / $138.80 / $138.80	Professional		$138.80	$138.80	$138.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $94.31 / $136.56	Professional		$76.43	$94.31	$136.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.67 / $80.19 / $120.29	Facility		$62.67	$80.19	$120.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $91.10 / $91.10	Professional		$91.10	$91.10	$91.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $72.63 / $88.12	Professional		$52.95	$72.63	$88.12
United Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $90.21 / $136.06	Professional		$73.93	$90.21	$136.06