Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $305.13 / $1,325.44	Facility		$52.48	$305.13	$1,325.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $75.47 / $93.77	Professional		$75.47	$75.47	$93.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $66.95 / $66.95	Professional		$66.95	$66.95	$66.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $105.19 / $855.05	Facility		$75.47	$105.19	$855.05
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 $24.42 / $57.35 / $77.64	Professional		$24.42	$57.35	$77.64