Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,659.59	Professional		$758.58	$1,071.52	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Professional		$1,412.54	$1,412.54	$1,479.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,698.24	Professional		$1,621.81	$1,621.81	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,089.30	Professional		$1,071.52	$1,548.82	$2,089.30