Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $238.00 / $632.00	Facility		$143.00	$238.00	$632.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $264.79 / $264.79 / $333.60	Facility		$264.79	$264.79	$333.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $653.54 / $653.54 / $653.54	Facility		$653.54	$653.54	$653.54