Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.72 / $523.66 / $2,848.42	Facility		$233.72	$523.66	$2,848.42
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $747.65 / $2,276.64 / $6,291.00	Facility	25	$747.65	$2,276.64	$6,291.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.03 / $548.00 / $1,147.16	Professional	25	$145.03	$548.00	$1,147.16
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $164.88 / $302.22 / $604.55	Professional	25	$164.88	$302.22	$604.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $1,808.00 / $3,633.00	Facility		$202.43	$1,808.00	$3,633.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $388.60 / $388.60 / $388.60	Facility		$388.60	$388.60	$388.60