Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $147.91	Facility		$100.00	$112.20	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $275.42	Professional		$100.00	$138.04	$275.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $218.78 / $446.68 / $446.68	Professional	25	$218.78	$446.68	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $169.82	Professional		$100.00	$125.89	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $234.42	Professional		$91.20	$147.91	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $141.25 / $239.88	Professional		$74.13	$141.25	$239.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,258.93	Professional		$977.24	$1,258.93	$1,258.93
Optum Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $223.87	Professional		$104.71	$138.04	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $234.42	Professional		$107.15	$141.25	$234.42