Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.12 / $1,807.12 / $4,421.67	Facility		$333.12	$1,807.12	$4,421.67
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $503.79 / $1,530.05 / $3,159.59	Facility	25	$503.79	$1,530.05	$3,159.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.29 / $411.27 / $1,871.80	Professional	25	$145.29	$411.27	$1,871.80
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $216.59 / $266.17 / $447.95	Professional	25	$216.59	$266.17	$447.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $202.43 / $202.43	Facility		$202.43	$202.43	$202.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $185.02 / $205.00 / $365.56	Facility		$185.02	$205.00	$365.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $401.30 / $830.92 / $830.92	Facility		$401.30	$830.92	$830.92