Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $137.69 / $496.00	Professional		$50.43	$137.69	$496.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $133.50 / $152.43	Professional		$133.50	$133.50	$152.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $136.97 / $228.57	Facility		$136.97	$136.97	$228.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $136.97 / $228.57	Professional		$99.89	$136.97	$228.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $125.00 / $133.00	Facility		$125.00	$125.00	$133.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $382.70	Facility		$100.00	$100.00	$382.70