Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $173.78 / $371.54	Facility		$147.91	$173.78	$371.54
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $218.78 / $309.03 / $758.58	Facility	25	$218.78	$309.03	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $501.19	Professional		$144.54	$213.80	$501.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $169.82 / $309.03 / $645.65	Professional	25	$169.82	$309.03	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $323.59	Professional		$165.96	$223.87	$323.59
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $169.82 / $223.87 / $309.03	Professional	25	$169.82	$223.87	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $371.54	Professional		$162.18	$234.42	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $281.84	Facility		$109.65	$141.25	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $354.81	Professional		$165.96	$218.78	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,380.38 / $1,380.38	Professional		$251.19	$1,380.38	$1,380.38
Optum Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $316.23	Professional		$114.82	$223.87	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $316.23	Professional		$147.91	$199.53	$316.23