Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.46 / $195.06 / $1,959.51	Facility		$131.46	$195.06	$1,959.51
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $616.79 / $1,069.90 / $2,350.10	Facility	25	$616.79	$1,069.90	$2,350.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $154.41 / $177.01 / $542.11	Professional	25	$154.41	$177.01	$542.11
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $156.44 / $184.06 / $240.08	Professional	25	$156.44	$184.06	$240.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.51 / $1,080.54 / $1,080.54	Facility		$1,026.51	$1,080.54	$1,080.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $1,745.00 / $1,745.00	Facility		$1,745.00	$1,745.00	$1,745.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $207.26 / $474.38	Facility		$149.66	$207.26	$474.38
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $198.93 / $214.45 / $427.57	Professional	25	$198.93	$214.45	$427.57