Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.81 / $694.11 / $1,976.00	Facility		$179.81	$694.11	$1,976.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $678.28 / $2,276.64 / $2,956.31	Facility	25	$678.28	$2,276.64	$2,956.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $119.88 / $310.08	Professional		$87.99	$119.88	$310.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $112.63 / $447.95 / $829.60	Professional	25	$112.63	$447.95	$829.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.68 / $330.75 / $425.19	Professional		$122.68	$330.75	$425.19
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $121.23 / $330.75 / $415.69	Professional	25	$121.23	$330.75	$415.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $151.62 / $246.95	Professional		$101.08	$151.62	$246.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $1,808.00 / $3,633.00	Facility		$139.63	$1,808.00	$3,633.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $151.13 / $272.89	Professional		$113.16	$151.13	$272.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $267.75 / $267.75 / $267.75	Facility		$267.75	$267.75	$267.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $748.12 / $748.12 / $748.12	Professional		$748.12	$748.12	$748.12
Optum Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $131.47 / $285.17	Professional		$115.25	$131.47	$285.17
United Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $125.64 / $229.56	Professional		$100.98	$125.64	$229.56