Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $168.66 / $168.66	Professional		$118.46	$168.66	$168.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $141.97 / $217.57	Professional		$116.81	$141.97	$217.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $166.32	Facility		$126.72	$126.72	$166.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $126.72 / $207.75	Professional		$126.72	$126.72	$207.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $168.66 / $327.97	Facility		$119.48	$168.66	$327.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $327.97 / $327.97 / $327.97	Professional		$327.97	$327.97	$327.97
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $153.75 / $341.56	Professional		$109.65	$153.75	$341.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $344.63 / $908.34 / $908.34	Facility		$344.63	$908.34	$908.34