Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,071.52 / $2,511.89	Facility		$575.44	$1,071.52	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $309.03	Professional		$123.03	$199.53	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $234.42 / $251.19	Professional		$229.09	$234.42	$251.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $851.14	Facility		$128.82	$331.13	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $398.11 / $645.65	Professional		$165.96	$398.11	$645.65