Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.63 / $68.00 / $78.59	Facility		$46.63	$68.00	$78.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $51.54 / $78.59	Professional		$26.70	$51.54	$78.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $45.36 / $45.36	Professional		$45.36	$45.36	$45.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $50.29 / $63.56	Professional		$50.29	$50.29	$63.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.52 / $57.88 / $100.06	Facility		$40.52	$57.88	$100.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $57.88 / $57.88	Professional		$57.88	$57.88	$57.88
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 $53.55 / $66.69 / $105.58	Professional		$53.55	$66.69	$105.58