Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $205.98 / $292.62	Facility		$24.06	$205.98	$292.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $15.61 / $52.25	Professional		$12.51	$15.61	$52.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $15.12 / $26.92	Professional		$13.04	$15.12	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $15.78 / $23.67	Facility		$11.02	$15.78	$23.67
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $16.53 / $21.26 / $43.68	Facility	50	$16.53	$21.26	$43.68
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $2.20 / $2.83 / $5.82	Facility	80	$2.20	$2.83	$5.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $1.54 / $1.87 / $4.08	Facility	AS	$1.54	$1.87	$4.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $15.78 / $15.78	Professional		$15.78	$15.78	$15.78
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $23.67 / $23.67 / $23.67	Professional	50	$23.67	$23.67	$23.67
United Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $18.59 / $26.52	Professional		$15.20	$18.59	$26.52