Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $178.94 / $229.82	Facility		$143.31	$178.94	$229.82
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $669.05 / $944.60 / $1,568.80	Facility	25	$669.05	$944.60	$1,568.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $162.21 / $548.00 / $986.00	Professional	25	$162.21	$548.00	$986.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $163.46 / $163.46 / $502.23	Professional	25	$163.46	$163.46	$502.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.98 / $664.63 / $964.27	Facility		$482.98	$664.63	$964.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.94 / $231.57 / $452.66	Facility		$178.94	$231.57	$452.66
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $649.87 / $649.87 / $1,012.58	Facility	25	$649.87	$649.87	$1,012.58
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $211.08 / $275.39 / $856.34	Professional	25	$211.08	$275.39	$856.34