Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.15 / $118.03 / $144.19	Facility		$108.15	$118.03	$144.19
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $113.34 / $113.34 / $113.34	Facility	25	$113.34	$113.34	$113.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $66.80 / $125.68	Professional		$41.01	$66.80	$125.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $57.46 / $96.48 / $258.00	Professional	25	$57.46	$96.48	$258.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $77.92 / $120.87	Professional		$55.06	$77.92	$120.87
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $55.19 / $64.93 / $122.90	Professional	25	$55.19	$64.93	$122.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $69.70 / $107.73	Professional		$45.70	$69.70	$107.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $120.00 / $256.00	Facility		$62.64	$120.00	$256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $75.58 / $120.51	Professional		$50.32	$75.58	$120.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.96 / $229.71 / $229.71	Facility		$211.96	$229.71	$229.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.33 / $456.37 / $456.37	Professional		$302.33	$456.37	$456.37
Optum Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $79.75 / $112.00	Professional		$51.06	$79.75	$112.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $77.38 / $130.08	Professional		$61.78	$77.38	$130.08