Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $169.82	Professional		$69.18	$95.50	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $81.28	Professional		$44.67	$60.26	$81.28
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 $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $158.49	Facility		$77.62	$95.50	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20