Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.78 / $356.78 / $356.78	Professional		$215.78	$356.78	$356.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $445.37 / $445.37 / $445.37	Professional		$445.37	$445.37	$445.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $351.00	Facility		$299.44	$299.44	$351.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $299.44 / $526.88	Professional		$299.44	$299.44	$526.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $356.78 / $603.50	Facility		$219.98	$356.78	$603.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $603.50 / $603.50 / $603.50	Professional		$603.50	$603.50	$603.50
United Facility/Professional Professional Modifier Low / Median / High Price $219.97 / $301.24 / $574.76	Professional		$219.97	$301.24	$574.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $604.30 / $2,147.32 / $2,147.32	Facility		$604.30	$2,147.32	$2,147.32