Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $114.14 / $220.67	Facility		$72.50	$114.14	$220.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $400.00	Facility		$100.00	$100.00	$400.00
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $253.77 / $374.44	Facility		$83.38	$253.77	$374.44