Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $25.50 / $25.50	Professional		$15.28	$25.50	$25.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $25.56 / $28.70	Professional		$25.56	$25.56	$28.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $23.28 / $24.70	Facility		$23.28	$23.28	$24.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $23.28 / $40.50	Professional		$19.79	$23.28	$40.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $25.50 / $31.93	Facility		$12.21	$25.50	$31.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $31.93 / $31.93	Professional		$31.93	$31.93	$31.93
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $19.39 / $30.41	Professional		$12.21	$19.39	$30.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $167.12 / $167.12	Facility		$80.00	$167.12	$167.12