Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $84.95 / $84.95	Professional		$84.19	$84.95	$84.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $228.30 / $228.30	Professional		$40.00	$228.30	$228.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $275.00 / $300.00	Professional		$107.80	$275.00	$300.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.76 / $90.00 / $133.86	Facility		$78.76	$90.00	$133.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $90.00 / $180.00	Professional		$78.76	$90.00	$180.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $320.00 / $320.00	Professional		$93.30	$320.00	$320.00