Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $122.42 / $122.42	Professional		$99.10	$122.42	$122.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $78.00 / $120.96	Professional		$56.40	$78.00	$120.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $122.42 / $208.11	Facility		$122.42	$122.42	$208.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00