Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $112.63 / $185.40	Facility		$23.10	$112.63	$185.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $119.81 / $119.81 / $180.50	Facility	25	$119.81	$119.81	$180.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $108.55 / $245.45	Professional		$63.17	$108.55	$245.45
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $53.02 / $125.59 / $311.51	Professional	25	$53.02	$125.59	$311.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $125.09 / $183.47	Professional		$88.80	$125.09	$183.47
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $99.38 / $128.76 / $183.47	Professional	25	$99.38	$128.76	$183.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $114.34 / $179.65	Professional		$77.45	$114.34	$179.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $129.72 / $256.00	Facility		$105.00	$129.72	$256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $123.08 / $192.11	Professional		$84.42	$123.08	$192.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $438.98 / $475.57 / $475.57	Facility		$438.98	$475.57	$475.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $607.94 / $801.06 / $801.06	Professional		$607.94	$801.06	$801.06
Optum Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $123.99 / $168.60	Professional		$85.00	$123.99	$168.60
United Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $108.24 / $182.88	Professional		$82.82	$108.24	$182.88