Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $305.00 / $305.00	Facility		$305.00	$305.00	$305.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $478.43 / $832.00 / $1,570.72	Facility		$478.43	$832.00	$1,570.72
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $1,170.00 / $1,170.00	Facility		$1,170.00	$1,170.00	$1,170.00