Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $57.20 / $79.25	Facility		$27.42	$57.20	$79.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $51.18 / $76.26	Professional		$26.14	$51.18	$76.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $51.60 / $51.60	Professional		$51.60	$51.60	$51.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $72.23 / $72.23	Facility		$72.23	$72.23	$72.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $50.02 / $50.02	Facility		$50.02	$50.02	$50.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $50.29 / $151.25	Professional		$29.34	$50.29	$151.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $67.08	Professional		$45.00	$45.00	$67.08
United Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $70.11 / $119.87	Professional		$53.42	$70.11	$119.87