Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $121.75 / $202.40	Professional		$66.70	$121.75	$202.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $209.19 / $246.11	Professional		$94.46	$209.19	$246.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $153.91 / $233.25	Professional		$90.46	$153.91	$233.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $123.94 / $198.26	Facility		$77.91	$123.94	$198.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $147.18 / $224.96	Professional		$106.95	$147.18	$224.96
United Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $174.32 / $290.88	Professional		$130.27	$174.32	$290.88