Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $62.50	Professional		$50.00	$50.00	$62.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $110.00	Professional		$50.00	$50.00	$110.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $60.00	Facility		$45.00	$45.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $55.00 / $70.00	Professional		$41.91	$55.00	$70.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $33.90	Facility		$30.00	$30.00	$33.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $40.00	Professional		$35.00	$35.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $46.00 / $46.00	Professional		$46.00	$46.00	$46.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $270.00 / $270.00	Facility		$111.15	$270.00	$270.00