Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.76 / $127.72 / $678.30	Facility		$75.76	$127.72	$678.30
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $109.50 / $109.50 / $109.50	Facility	25	$109.50	$109.50	$109.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $102.84 / $174.90	Professional		$64.53	$102.84	$174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $112.26 / $162.19	Professional		$74.84	$112.26	$162.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $114.16 / $175.90	Professional		$71.69	$114.16	$175.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $128.41 / $184.53	Professional		$78.43	$128.41	$184.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.16 / $400.05 / $400.05	Facility		$178.16	$400.05	$400.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $613.55 / $613.55 / $613.55	Professional		$613.55	$613.55	$613.55
Optum Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $105.74 / $127.36	Professional		$79.19	$105.74	$127.36
United Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $107.97 / $190.89	Professional		$79.31	$107.97	$190.89