Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $105.45 / $157.47 / $210.60	Facility		$105.45	$157.47	$210.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $295.20 / $483.32 / $656.46	Facility		$295.20	$483.32	$656.46