Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $76.65 / $135.40	Professional		$59.80	$76.65	$135.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $59.36 / $79.05 / $138.28	Professional	25	$59.36	$79.05	$138.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $75.33 / $101.59	Professional		$60.74	$75.33	$101.59
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $70.06 / $125.41 / $126.11	Professional	25	$70.06	$125.41	$126.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $101.16 / $160.68	Professional		$76.75	$101.16	$160.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $94.75 / $143.02	Facility		$63.32	$94.75	$143.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $95.55 / $463.84	Professional		$94.75	$95.55	$463.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $113.07 / $180.39	Professional		$82.40	$113.07	$180.39
United Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $90.04 / $129.22	Professional		$70.63	$90.04	$129.22
United Facility/Professional Professional Modifier 25 Low / Median / High Price $99.10 / $99.10 / $99.10	Professional	25	$99.10	$99.10	$99.10