Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.96 / $1,181.00 / $3,109.00	Facility		$100.96	$1,181.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $158.88 / $185.45	Professional		$100.96	$158.88	$185.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.25 / $214.25 / $214.25	Professional		$214.25	$214.25	$214.25
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $246.39 / $246.39 / $246.39	Professional		$246.39	$246.39	$246.39
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $289.23 / $468.00	Professional		$147.63	$289.23	$468.00