Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $262.60 / $663.47	Facility		$83.42	$262.60	$663.47
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $222.00 / $471.83 / $506.93	Facility	25	$222.00	$471.83	$506.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $47.94 / $103.00	Professional		$30.09	$47.94	$103.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $94.04 / $144.50	Professional		$39.28	$94.04	$144.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $51.20 / $79.73	Professional		$35.36	$51.20	$79.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $912.00 / $1,043.00	Facility		$48.16	$912.00	$1,043.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $52.59 / $110.10	Professional		$39.03	$52.59	$110.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.49 / $92.49 / $92.49	Facility		$92.49	$92.49	$92.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $46.33 / $150.94	Professional		$39.92	$46.33	$150.94
United Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $44.90 / $83.64	Professional		$35.47	$44.90	$83.64