Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.53 / $227.21 / $2,753.95	Facility		$137.53	$227.21	$2,753.95
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $869.40 / $1,177.20 / $2,982.38	Facility	25	$869.40	$1,177.20	$2,982.38
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $172.55 / $177.12 / $237.86	Professional	25	$172.55	$177.12	$237.86
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $173.35 / $201.96 / $504.90	Professional	25	$173.35	$201.96	$504.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,982.46 / $1,982.46 / $1,982.46	Facility		$1,982.46	$1,982.46	$1,982.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,586.00 / $1,586.00 / $3,144.00	Facility		$1,586.00	$1,586.00	$3,144.00