Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $181.97	Facility		$95.50	$134.90	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $104.71	Professional		$91.20	$93.33	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $75.86 / $91.20	Professional		$33.11	$75.86	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $144.54	Professional		$30.20	$30.20	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $107.15 / $162.18	Facility		$95.50	$107.15	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $158.49	Professional		$79.43	$104.71	$158.49