Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $62.50 / $105.00	Professional		$50.00	$62.50	$105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $60.00 / $60.00	Facility		$45.00	$60.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $62.50	Professional		$45.00	$60.00	$62.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $270.00 / $270.00	Facility		$111.15	$270.00	$270.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $40.00	Professional		$33.00	$33.00	$40.00