Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.13 / $3,495.00 / $3,615.22	Facility		$321.13	$3,495.00	$3,615.22
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $900.00 / $3,067.99 / $3,830.39	Facility	25	$900.00	$3,067.99	$3,830.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.92 / $239.91 / $740.02	Professional		$176.92	$239.91	$740.02
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $199.67 / $540.75 / $1,316.48	Professional	25	$199.67	$540.75	$1,316.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.46 / $312.39 / $739.58	Professional		$194.46	$312.39	$739.58
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $195.62 / $357.81 / $670.89	Professional	25	$195.62	$357.81	$670.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.92 / $296.26 / $470.72	Professional		$199.92	$296.26	$470.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $3,493.00 / $3,633.00	Facility		$286.33	$3,493.00	$3,633.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $308.25 / $526.05	Professional		$218.74	$308.25	$526.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $962.77 / $1,027.61 / $1,027.61	Facility		$962.77	$1,027.61	$1,027.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.39 / $1,733.52 / $1,733.52	Professional		$1,336.39	$1,733.52	$1,733.52
United Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $293.19 / $512.19	Professional		$228.45	$293.19	$512.19