Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.15 / $270.39 / $270.39	Professional		$232.15	$270.39	$270.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $104.81 / $104.81	Professional		$104.81	$104.81	$104.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $253.86	Facility		$193.40	$193.40	$253.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $193.40 / $326.25	Professional		$164.39	$193.40	$326.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $243.76 / $301.22	Facility		$39.95	$243.76	$301.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $420.00 / $420.00	Professional		$420.00	$420.00	$420.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $29.25 / $267.85	Professional		$17.10	$29.25	$267.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $467.81 / $864.68 / $1,335.56	Facility		$467.81	$864.68	$1,335.56