Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $389.05	Professional		$275.42	$389.05	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $416.87	Professional		$371.54	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $363.08	Facility		$281.84	$281.84	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $645.65	Professional		$239.88	$281.84	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $338.84	Professional		$316.23	$338.84	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $389.05 / $575.44	Facility		$194.98	$389.05	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $194.98 / $398.11	Facility		$24.55	$194.98	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $489.78	Professional		$199.53	$288.40	$489.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,162.28 / $3,162.28	Facility		$489.78	$3,162.28	$3,162.28