Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.84 / $152.63 / $522.80	Facility		$116.84	$152.63	$522.80
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $220.00 / $345.67 / $394.59	Facility	25	$220.00	$345.67	$394.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $148.58 / $325.00	Professional		$95.64	$148.58	$325.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $111.48 / $215.00 / $508.20	Professional	25	$111.48	$215.00	$508.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $190.48 / $247.61	Professional		$131.36	$190.48	$247.61
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $139.74 / $192.44 / $251.00	Professional	25	$139.74	$192.44	$251.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $159.94 / $250.04	Professional		$109.46	$159.94	$250.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $150.00 / $256.00	Facility		$105.00	$150.00	$256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $171.81 / $268.60	Professional		$120.63	$171.81	$268.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $566.79 / $705.38 / $705.38	Facility		$566.79	$705.38	$705.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $901.73 / $1,127.38 / $1,127.38	Professional		$901.73	$1,127.38	$1,127.38
Optum Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $174.50 / $238.76	Professional		$133.38	$174.50	$238.76
United Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $154.24 / $276.33	Professional		$118.66	$154.24	$276.33