Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $95.50 / $125.89	Facility		$61.66	$95.50	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $173.78 / $218.78	Facility		$134.90	$173.78	$218.78