Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $128.78 / $176.12	Facility		$113.63	$128.78	$176.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $151.50 / $210.12	Professional		$117.69	$151.50	$210.12
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $224.18 / $224.18 / $224.18	Professional	25	$224.18	$224.18	$224.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $182.79 / $300.00	Professional		$135.00	$182.79	$300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $146.86 / $232.41	Professional		$106.15	$146.86	$232.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $185.99 / $372.00	Professional		$100.18	$185.99	$372.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $765.98 / $765.98 / $818.71	Facility		$765.98	$765.98	$818.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.07 / $1,234.10 / $1,560.60	Professional		$1,080.07	$1,234.10	$1,560.60
Optum Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $177.54 / $264.49	Professional		$110.00	$177.54	$264.49
United Facility/Professional Professional Modifier Low / Median / High Price $128.77 / $184.35 / $364.20	Professional		$128.77	$184.35	$364.20