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 $94.83 / $128.94 / $172.82	Facility		$94.83	$128.94	$172.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $189.00 / $189.00 / $194.18	Facility		$189.00	$189.00	$194.18