Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,019.95 / $5,495.41	Facility		$275.42	$3,019.95	$5,495.41
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $776.25 / $2,818.38 / $5,011.87	Facility	25	$776.25	$2,818.38	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $1,148.15	Professional		$169.82	$269.15	$1,148.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $199.53 / $446.68 / $1,318.26	Professional	25	$199.53	$446.68	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $457.09	Professional		$177.83	$218.78	$457.09
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $194.98 / $251.19 / $457.09	Professional	25	$194.98	$251.19	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $524.81	Professional		$223.87	$323.59	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $331.13 / $3,630.78	Facility		$199.53	$331.13	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $501.19	Professional		$213.80	$295.12	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $426.58	Professional		$199.53	$269.15	$426.58