Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.68 / $892.62 / $1,676.64	Facility		$153.68	$892.62	$1,676.64
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $782.87 / $1,263.58 / $2,208.80	Facility	25	$782.87	$1,263.58	$2,208.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $163.82 / $273.97 / $901.88	Professional	25	$163.82	$273.97	$901.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $164.50 / $230.30 / $504.90	Professional	25	$164.50	$230.30	$504.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.96 / $718.88 / $876.86	Facility		$357.96	$718.88	$876.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $155.00 / $202.43	Facility		$155.00	$155.00	$202.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.10 / $275.08 / $1,257.53	Professional		$184.10	$275.08	$1,257.53