Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,023.29	Facility		$977.24	$977.24	$1,023.29
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,174.90	Facility		$1,122.02	$1,122.02	$1,174.90