Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $169.82	Facility		$128.82	$169.82	$169.82
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $144.54 / $194.98	Facility		$104.71	$144.54	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $100.00 / $190.55	Facility		$79.43	$100.00	$190.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00