Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $2,307.00 / $2,857.82	Facility		$90.00	$2,307.00	$2,857.82
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $685.81 / $2,390.00 / $2,994.94	Facility	25	$685.81	$2,390.00	$2,994.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $154.41 / $548.00 / $901.88	Professional	25	$154.41	$548.00	$901.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $132.94 / $199.42 / $629.48	Professional	25	$132.94	$199.42	$629.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $182.08 / $382.42	Facility		$136.94	$182.08	$382.42
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $501.10 / $854.75 / $871.65	Professional	25	$501.10	$854.75	$871.65