Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $6.46	Professional		$5.00	$5.00	$6.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $2.34	Professional		$2.34	$2.34	$2.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $4.12 / $4.12	Facility		$3.09	$4.12	$4.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.12 / $4.12	Professional		$3.50	$4.12	$4.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.25 / $6.75	Facility		$5.00	$5.25	$6.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $2.75 / $4.41	Professional		$0.22	$2.75	$4.41