Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.95 / $39.75 / $155.19	Facility		$35.95	$39.75	$155.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $32.36 / $72.00	Professional		$27.01	$32.36	$72.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $32.93 / $47.27	Professional		$25.45	$32.93	$47.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $35.78	Professional		$28.57	$28.57	$35.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $32.78 / $54.06	Facility		$29.94	$32.78	$54.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $31.09 / $79.54	Professional		$28.96	$31.09	$79.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.87 / $63.26	Professional		$32.34	$40.87	$63.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $35.01 / $52.52	Professional		$28.30	$35.01	$52.52