Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $57.54	Facility		$41.69	$41.69	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $107.15	Professional		$28.18	$48.98	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $75.86	Professional		$56.23	$69.18	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $107.15	Professional		$39.81	$54.95	$107.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $74.13	Facility		$29.51	$47.86	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
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 $25.12 / $43.65 / $72.44	Professional		$25.12	$43.65	$72.44