Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $416.00 / $416.00	Facility		$416.00	$416.00	$416.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $246.10 / $267.30 / $861.98	Facility		$246.10	$267.30	$861.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.75 / $230.75 / $349.09	Facility		$113.75	$230.75	$349.09