Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $173.78 / $218.78	Facility		$114.82	$173.78	$218.78
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $194.98 / $676.08 / $676.08	Facility	25	$194.98	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $371.54	Professional		$104.71	$165.96	$371.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $114.82 / $194.98 / $436.52	Professional	25	$114.82	$194.98	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $234.42	Professional		$120.23	$162.18	$234.42
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $165.96 / $229.09	Professional	25	$128.82	$165.96	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $281.84	Professional		$123.03	$181.97	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $208.93	Facility		$104.71	$141.25	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $275.42	Professional		$125.89	$169.82	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,047.13 / $1,047.13	Professional		$194.98	$1,047.13	$1,047.13
Optum Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $239.88	Professional		$89.13	$173.78	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $251.19	Professional		$112.20	$158.49	$251.19