Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.25 / $87.55 / $135.69	Facility		$77.25	$87.55	$135.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $87.55 / $120.61	Professional		$68.95	$87.55	$120.61
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $111.16 / $111.16 / $111.16	Professional	25	$111.16	$111.16	$111.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $82.60 / $121.39	Professional		$63.17	$82.60	$121.39
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $78.12 / $78.12 / $78.12	Professional	25	$78.12	$78.12	$78.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $85.26 / $129.15	Professional		$61.63	$85.26	$129.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $97.00 / $162.82	Professional		$65.00	$97.00	$162.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $425.37 / $425.37 / $454.43	Facility		$425.37	$425.37	$454.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $581.94 / $652.54 / $856.73	Professional		$581.94	$652.54	$856.73
Optum Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $97.42 / $158.47	Professional		$72.56	$97.42	$158.47
United Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $101.00 / $189.62	Professional		$76.81	$101.00	$189.62