Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $233.81 / $1,479.73	Facility		$139.88	$233.81	$1,479.73
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $579.15 / $1,015.82 / $4,676.20	Facility	25	$579.15	$1,015.82	$4,676.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $34.96 / $952.00 / $1,259.35	Professional	25	$34.96	$952.00	$1,259.35
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $161.84 / $194.21 / $627.04	Professional	25	$161.84	$194.21	$627.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.00 / $1,286.00 / $1,286.00	Facility		$1,286.00	$1,286.00	$1,286.00