Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $354.81	Professional		$245.47	$354.81	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $354.81	Facility		$302.00	$302.00	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $524.81	Professional		$257.04	$302.00	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $380.19	Professional		$354.81	$380.19	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $660.69	Facility		$218.78	$354.81	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $204.17 / $323.59	Facility		$25.12	$204.17	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $489.78	Professional		$194.98	$302.00	$489.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,137.96 / $2,137.96	Facility		$724.44	$2,137.96	$2,137.96