Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.43 / $991.36 / $2,687.10	Facility		$148.43	$991.36	$2,687.10
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $518.61 / $2,303.92 / $4,882.00	Facility	25	$518.61	$2,303.92	$4,882.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $148.44 / $577.28 / $995.52	Professional	25	$148.44	$577.28	$995.52
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $176.39 / $293.70 / $375.21	Professional	25	$176.39	$293.70	$375.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.75 / $1,018.64 / $1,235.30	Facility		$694.75	$1,018.64	$1,235.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.72 / $213.00 / $365.56	Facility		$157.72	$213.00	$365.56