Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $31.25 / $31.25	Professional		$16.11	$31.25	$31.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $38.60	Professional		$29.51	$29.51	$38.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $29.77	Facility		$28.34	$28.34	$29.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $28.34 / $56.25	Professional		$24.09	$28.34	$56.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $31.25 / $42.96	Facility		$16.43	$31.25	$42.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $42.96 / $42.96	Professional		$42.96	$42.96	$42.96
United Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $24.21 / $42.57	Professional		$16.43	$24.21	$42.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $146.43 / $203.16 / $203.16	Facility		$146.43	$203.16	$203.16