Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $68.77 / $110.03	Professional		$58.07	$68.77	$110.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.80 / $114.61 / $114.61	Professional	25	$96.80	$114.61	$114.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.77 / $118.57 / $119.23	Professional		$117.77	$118.57	$119.23
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $100.12 / $101.35 / $101.35	Professional	25	$100.12	$101.35	$101.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $91.82 / $139.54	Professional		$69.84	$91.82	$139.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $82.74 / $133.34	Facility		$59.83	$82.74	$133.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $83.40 / $463.84	Professional		$82.74	$83.40	$463.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $74.75 / $117.88	Professional		$54.90	$74.75	$117.88
United Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $75.12 / $118.02	Professional		$61.92	$75.12	$118.02
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07