Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $18.62 / $18.62	Professional		$11.72	$18.62	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $25.00 / $28.07	Professional		$23.31	$25.00	$28.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $20.91	Facility		$15.88	$15.88	$20.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $15.88 / $28.50	Professional		$15.88	$15.88	$28.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $18.62 / $29.17	Facility		$11.95	$18.62	$29.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $14.90 / $25.36	Professional		$10.14	$14.90	$25.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $123.36 / $123.36	Facility		$75.00	$123.36	$123.36