Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $78.91 / $93.98	Facility		$17.64	$78.91	$93.98
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $70.80 / $78.91 / $101.10	Facility	25	$70.80	$78.91	$101.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $19.00 / $36.24	Professional		$7.22	$19.00	$36.24
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.85 / $38.22 / $74.00	Professional	25	$21.85	$38.22	$74.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $22.86 / $35.81	Professional		$14.86	$22.86	$35.81
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $17.66 / $21.15 / $25.99	Professional	25	$17.66	$21.15	$25.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $16.64 / $30.50	Professional		$8.43	$16.64	$30.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $120.00 / $256.00	Facility		$11.66	$120.00	$256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $19.85 / $34.67	Professional		$9.40	$19.85	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $42.70 / $50.00	Facility		$42.70	$42.70	$50.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $220.00 / $489.00	Professional		$86.77	$220.00	$489.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $24.71 / $52.41	Professional		$22.21	$24.71	$52.41
United Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $23.46 / $41.84	Professional		$18.60	$23.46	$41.84