Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $63.32 / $70.81	Facility		$63.32	$63.32	$70.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $71.68 / $90.80	Professional		$63.32	$71.68	$90.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $67.08 / $67.08	Professional		$67.08	$67.08	$67.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $99.26 / $147.01	Professional		$77.06	$99.26	$147.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $75.30 / $114.43	Facility		$63.32	$75.30	$114.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $92.02 / $92.02	Professional		$92.02	$92.02	$92.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $104.63 / $128.32	Professional		$80.83	$104.63	$128.32
United Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $92.02 / $133.19	Professional		$72.28	$92.02	$133.19