Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $113.12 / $113.12	Professional		$80.59	$113.12	$113.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $54.31 / $54.31	Professional		$54.31	$54.31	$54.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $98.28	Facility		$88.70	$88.70	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $88.70 / $196.88	Professional		$10.41	$88.70	$196.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $113.12 / $124.43	Facility		$21.07	$113.12	$124.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $13.27 / $103.35	Professional		$7.12	$13.27	$103.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $196.86 / $196.86	Facility		$100.00	$196.86	$196.86