Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $191.62 / $191.62	Professional		$114.87	$191.62	$191.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $167.63 / $242.77	Professional		$167.63	$167.63	$242.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $188.50	Facility		$160.96	$160.96	$188.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.58 / $160.96 / $274.13	Professional		$143.58	$160.96	$274.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.41 / $191.62 / $310.38	Facility		$116.41	$191.62	$310.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $310.38 / $310.38 / $310.38	Professional		$310.38	$310.38	$310.38
United Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $160.09 / $316.97	Professional		$110.87	$160.09	$316.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $319.93 / $1,154.28 / $1,154.28	Facility		$319.93	$1,154.28	$1,154.28