Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $123.03	Professional		$100.00	$123.03	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $501.19	Professional		$75.86	$109.65	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $4,168.69	Facility		$2,511.89	$3,388.44	$4,168.69