Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.86 / $139.05 / $685.49	Facility		$128.86	$139.05	$685.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $101.89 / $229.00	Professional		$64.97	$101.89	$229.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.05 / $126.04 / $354.00	Professional	25	$72.05	$126.04	$354.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $111.86 / $182.90	Professional		$82.11	$111.86	$182.90
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $86.05 / $108.30 / $182.90	Professional	25	$86.05	$108.30	$182.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $106.97 / $164.85	Professional		$72.15	$106.97	$164.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $120.00 / $256.00	Facility		$105.00	$120.00	$256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $115.76 / $177.83	Professional		$80.26	$115.76	$177.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $355.86 / $399.71 / $399.71	Facility		$355.86	$399.71	$399.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $514.87 / $699.27 / $699.27	Professional		$514.87	$699.27	$699.27
Optum Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $117.56 / $147.36	Professional		$81.55	$117.56	$147.36
United Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $110.20 / $191.50	Professional		$88.28	$110.20	$191.50