Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.81 / $1,809.49 / $1,809.49	Professional		$1,086.81	$1,809.49	$1,809.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,552.28 / $1,552.28 / $1,552.28	Professional		$1,552.28	$1,552.28	$1,552.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.50 / $1,460.50 / $1,460.50	Facility		$1,460.50	$1,460.50	$1,460.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,460.50 / $2,994.75	Professional		$1,241.43	$1,460.50	$2,994.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $742.51 / $1,809.49 / $2,171.39	Facility		$742.51	$1,809.49	$2,171.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,664.00 / $1,664.00 / $1,721.05	Professional		$1,664.00	$1,664.00	$1,721.05
United Facility/Professional Professional Modifier Low / Median / High Price $742.51 / $1,234.88 / $2,021.71	Professional		$742.51	$1,234.88	$2,021.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,759.90 / $12,064.38 / $12,064.38	Facility		$1,759.90	$12,064.38	$12,064.38