Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $87.10 / $102.33	Facility		$77.62	$87.10	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $194.98	Professional		$70.79	$95.50	$194.98
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $112.20 / $112.20 / $112.20	Professional	25	$112.20	$112.20	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $117.49	Professional		$66.07	$85.11	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $158.49	Professional		$72.44	$100.00	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $162.18	Professional		$64.57	$95.50	$162.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $851.14	Professional		$645.65	$851.14	$851.14
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $162.18	Professional		$70.79	$97.72	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $158.49	Professional		$72.44	$95.50	$158.49