Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,742.00 / $11,618.09	Facility		$882.00	$3,742.00	$11,618.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $166.55 / $214.25	Professional		$105.71	$166.55	$214.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.78 / $253.78 / $253.78	Professional		$253.78	$253.78	$253.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.55 / $208.19 / $1,470.67	Facility		$166.55	$208.19	$1,470.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $222.38 / $641.42	Professional		$156.22	$222.38	$641.42
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $213.42 / $540.15	Professional		$148.40	$213.42	$540.15