Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.92 / $1,881.92 / $1,881.92	Professional		$1,127.92	$1,881.92	$1,881.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,650.00 / $1,650.00 / $1,650.00	Professional		$1,650.00	$1,650.00	$1,650.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Facility		$1,350.00	$1,350.00	$1,350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,350.00 / $3,862.50	Professional		$1,147.50	$1,350.00	$3,862.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $951.53 / $1,881.92 / $2,487.66	Facility		$951.53	$1,881.92	$2,487.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,132.00 / $2,132.00 / $2,132.00	Professional		$2,132.00	$2,132.00	$2,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.56 / $1,393.38 / $2,563.90	Professional		$1,025.56	$1,393.38	$2,563.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,613.65 / $15,122.05 / $15,122.05	Facility		$2,613.65	$15,122.05	$15,122.05