Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $123.03	Professional		$100.00	$123.03	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $89.13	Professional		$56.23	$75.86	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $208.93	Facility		$104.71	$123.03	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20