Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $535.88 / $3,742.00	Facility		$130.88	$535.88	$3,742.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $899.58 / $2,239.48 / $5,217.96	Facility	25	$899.58	$2,239.48	$5,217.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $151.84 / $391.00 / $617.67	Professional	25	$151.84	$391.00	$617.67
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $188.46 / $298.39 / $382.67	Professional	25	$188.46	$298.39	$382.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.99 / $261.77 / $424.23	Facility		$153.99	$261.77	$424.23
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $605.47 / $2,110.08 / $3,420.24	Facility	25	$605.47	$2,110.08	$3,420.24
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $222.07 / $321.14 / $449.10	Professional	25	$222.07	$321.14	$449.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $253.28 / $327.87 / $438.34	Facility		$253.28	$327.87	$438.34