Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $489.78 / $977.24	Facility		$37.15	$489.78	$977.24
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $138.04 / $467.74 / $933.25	Facility	25	$138.04	$467.74	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $338.84	Professional		$33.11	$57.54	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $123.03	Professional		$33.11	$46.77	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $95.50	Professional		$39.81	$57.54	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $154.88 / $1,047.13	Facility		$64.57	$154.88	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $95.50	Professional		$36.31	$50.12	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Optum Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $151.36	Professional		$33.88	$47.86	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $75.86	Professional		$33.11	$43.65	$75.86