Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $195.00 / $218.14	Facility		$130.00	$195.00	$218.14
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $126.00 / $132.00	Facility		$120.00	$126.00	$132.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $202.00 / $387.00	Facility		$188.00	$202.00	$387.00
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $144.90 / $144.90 / $151.80	Facility		$144.90	$144.90	$151.80
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $472.00 / $472.00	Facility		$472.00	$472.00	$472.00