Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $870.96	Facility		$52.48	$52.48	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $20.89 / $31.62	Professional		$1.58	$20.89	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Professional		$0.30	$0.30	$0.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.16 / $0.26	Facility		$0.15	$0.16	$0.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Professional		$0.21	$0.21	$0.21