Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.39 / $729.39 / $1,982.93	Facility		$729.39	$729.39	$1,982.93
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $706.95 / $1,502.81 / $1,562.94	Facility	25	$706.95	$1,502.81	$1,562.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $168.77 / $401.83 / $739.95	Professional	25	$168.77	$401.83	$739.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81,499.99 / $81,499.99 / $81,499.99	Facility		$81,499.99	$81,499.99	$81,499.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $168.54 / $313.08	Facility		$134.83	$168.54	$313.08