Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.00 / $1,779.00 / $3,596.00	Facility		$809.00	$1,779.00	$3,596.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $490.00 / $490.00	Facility		$490.00	$490.00	$490.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,061.00 / $1,585.00	Facility		$538.00	$1,061.00	$1,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,025.00 / $2,300.00	Facility		$711.00	$1,025.00	$2,300.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $989.00 / $1,264.00 / $5,716.00	Facility		$989.00	$1,264.00	$5,716.00