Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.15 / $258.14 / $269.57	Facility		$217.15	$258.14	$269.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.64 / $258.14 / $349.07	Professional		$224.64	$258.14	$349.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $88.00 / $88.00	Professional		$9.98	$88.00	$88.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $417.07 / $417.07	Facility		$64.00	$417.07	$417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $61.57 / $61.57	Professional		$61.57	$61.57	$61.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $27.52 / $34.40	Professional		$19.26	$27.52	$34.40
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $26.59 / $42.31	Professional		$23.17	$26.59	$42.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $300.39 / $300.39	Professional		$300.39	$300.39	$300.39