Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.15 / $939.82 / $989.88	Facility		$106.15	$939.82	$989.88
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $407.03 / $939.82 / $1,021.20	Facility	25	$407.03	$939.82	$1,021.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $66.28 / $130.40	Professional		$51.73	$66.28	$130.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $67.34 / $300.25 / $537.20	Professional	25	$67.34	$300.25	$537.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $107.59 / $247.85	Professional		$64.70	$107.59	$247.85
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $64.70 / $107.59 / $247.85	Professional	25	$64.70	$107.59	$247.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $87.01 / $147.35	Professional		$59.82	$87.01	$147.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $1,172.00 / $1,343.00	Facility		$82.02	$1,172.00	$1,343.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $85.78 / $186.23	Professional		$63.22	$85.78	$186.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $157.05 / $157.05 / $157.05	Facility		$157.05	$157.05	$157.05
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 $65.84 / $72.18 / $190.30	Professional		$65.84	$72.18	$190.30
United Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $69.30 / $129.19	Professional		$56.44	$69.30	$129.19