Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $123.03	Facility		$112.20	$112.20	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $112.20	Professional		$75.86	$87.10	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $75.86	Professional		$57.54	$63.10	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Professional		$79.43	$79.43	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $120.23	Facility		$75.86	$100.00	$120.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82