Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $269.15	Professional		$204.17	$269.15	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $295.12	Facility		$269.15	$269.15	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $446.68	Professional		$229.09	$269.15	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $389.05	Facility		$234.42	$281.84	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $134.90 / $275.42	Facility		$17.38	$134.90	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $338.84	Professional		$138.04	$199.53	$338.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $1,819.70	Facility		$602.56	$1,819.70	$1,819.70