Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $1,277.00 / $3,109.00	Facility		$119.58	$1,277.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $163.82 / $255.04	Professional		$119.58	$163.82	$255.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.78 / $253.78 / $253.78	Professional		$253.78	$253.78	$253.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $291.85 / $291.85 / $291.85	Professional		$291.85	$291.85	$291.85
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.23 / $447.76 / $728.62	Professional		$176.23	$447.76	$728.62