Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $51.29 / $72.44	Facility		$41.69	$51.29	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $79.43	Professional		$30.90	$50.12	$79.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	25	$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $70.79	Professional		$47.86	$58.88	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $58.88 / $75.86	Professional	25	$48.98	$58.88	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $93.33	Professional		$36.31	$51.29	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $46.77 / $63.10	Facility		$30.90	$46.77	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
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 Facility Modifier Low / Median / High Price $426.58 / $489.78 / $645.65	Facility		$426.58	$489.78	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $69.18	Professional		$29.51	$40.74	$69.18