Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $70.00	Professional		$60.00	$60.00	$70.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $125.00	Professional		$95.00	$95.00	$125.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $150.00	Facility		$100.00	$100.00	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $125.00 / $125.00	Facility		$90.00	$125.00	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.00 / $125.00	Professional		$90.00	$120.00	$125.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $109.25 / $143.75	Professional		$109.25	$109.25	$143.75