Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $125.62 / $125.62	Professional		$65.23	$125.62	$125.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $144.97 / $144.97	Professional		$144.97	$144.97	$144.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $127.40	Facility		$115.90	$115.90	$127.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $115.90 / $192.00	Professional		$115.90	$115.90	$192.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $125.62 / $161.36	Facility		$64.81	$125.62	$161.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $161.36 / $161.36	Professional		$161.36	$161.36	$161.36
United Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $96.55 / $168.05	Professional		$68.45	$96.55	$168.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $196.42 / $782.36 / $782.36	Facility		$196.42	$782.36	$782.36