Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,069.00 / $2,452.00	Facility		$464.00	$1,069.00	$2,452.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $1,458.21 / $1,458.21 / $1,458.21	Facility		$1,458.21	$1,458.21	$1,458.21
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $2,702.00 / $5,000.00	Facility		$1,350.00	$2,702.00	$5,000.00