Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $49.90 / $58.71	Facility		$44.03	$49.90	$58.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $37.21 / $58.71	Professional		$18.92	$37.21	$58.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.00 / $96.00 / $96.00	Professional	25	$96.00	$96.00	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.79 / $36.75	Professional		$17.78	$20.79	$36.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $26.12 / $55.50	Professional		$16.46	$26.12	$55.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.06 / $67.00	Professional		$19.95	$33.06	$67.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $113.54 / $120.84	Facility		$113.54	$113.54	$120.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.04 / $232.58 / $408.25	Professional		$154.04	$232.58	$408.25
Optum Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $40.00 / $64.14	Professional		$27.07	$40.00	$64.14
United Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $39.65 / $64.27	Professional		$24.49	$39.65	$64.27