Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $20.78 / $23.99	Professional		$11.15	$20.78	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $13.34	Professional		$13.34	$13.34	$13.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $14.04	Professional		$12.80	$12.80	$14.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $22.44 / $31.10	Facility		$9.25	$22.44	$31.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06
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 $13.00 / $20.88 / $35.52	Professional		$13.00	$20.88	$35.52