Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $165.96	Professional		$117.49	$162.18	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $144.54	Professional		$134.90	$134.90	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $316.23	Professional		$104.71	$123.03	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $169.82	Professional		$158.49	$169.82	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $165.96 / $199.53	Facility		$93.33	$165.96	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $91.20 / $154.88	Facility		$12.02	$91.20	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $190.55	Professional		$81.28	$141.25	$190.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,148.15 / $1,148.15	Facility		$245.47	$1,148.15	$1,148.15