Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $162.18	Professional		$56.23	$70.79	$162.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $138.04 / $275.42	Professional	25	$66.07	$138.04	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $117.49	Professional		$52.48	$66.07	$117.49
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $57.54 / $102.33 / $147.91	Professional	25	$57.54	$102.33	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $165.96	Professional		$61.66	$87.10	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $75.86 / $134.90	Facility		$58.88	$75.86	$134.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $114.82	Professional		$61.66	$75.86	$114.82