Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.00 / $827.00 / $1,597.00	Facility		$441.00	$827.00	$1,597.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $61.78 / $119.41 / $160.13	Facility		$61.78	$119.41	$160.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $594.00 / $790.00	Facility		$365.00	$594.00	$790.00
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $99.54 / $149.94 / $289.58	Facility		$99.54	$149.94	$289.58