Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.09 / $597.04 / $597.04	Professional		$408.09	$597.04	$597.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.52 / $310.52 / $1,260.81	Professional		$310.52	$310.52	$1,260.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.75 / $654.75 / $654.75	Facility		$654.75	$654.75	$654.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.75 / $654.75 / $750.00	Professional		$519.75	$654.75	$750.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.23 / $597.04 / $716.45	Facility		$100.23	$597.04	$716.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,112.00 / $1,120.00 / $1,120.00	Professional		$1,112.00	$1,120.00	$1,120.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $438.29 / $725.40	Professional		$331.49	$438.29	$725.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,168.83 / $2,572.03 / $2,572.03	Facility		$1,168.83	$2,572.03	$2,572.03