Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $840.00 / $840.00	Facility		$840.00	$840.00	$840.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $331.49 / $724.69 / $1,314.76	Facility		$331.49	$724.69	$1,314.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,494.00 / $3,494.00 / $3,494.00	Facility		$3,494.00	$3,494.00	$3,494.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $36.27 / $687.06	Facility		$10.89	$36.27	$687.06