Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.71 / $580.71 / $2,704.14	Facility		$580.71	$580.71	$2,704.14
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $712.88 / $976.50 / $1,758.12	Facility	25	$712.88	$976.50	$1,758.12
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $162.21 / $176.33 / $548.00	Professional	25	$162.21	$176.33	$548.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $166.53 / $166.53 / $166.53	Professional	25	$166.53	$166.53	$166.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,535.75 / $1,813.58 / $2,869.15	Facility		$1,535.75	$1,813.58	$2,869.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $207.45 / $271.31	Facility		$146.16	$207.45	$271.31