Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.16 / $161.16 / $178.93	Facility		$161.16	$161.16	$178.93
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $643.57 / $643.57 / $643.57	Facility	25	$643.57	$643.57	$643.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.49 / $111.17 / $449.73	Professional		$87.49	$111.17	$449.73
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $107.45 / $491.64 / $1,351.84	Professional	25	$107.45	$491.64	$1,351.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $145.35 / $371.06	Professional		$97.34	$145.35	$371.06
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $126.24 / $182.44 / $292.02	Professional	25	$126.24	$182.44	$292.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $141.29 / $218.16	Professional		$96.87	$141.29	$218.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $3,493.00 / $3,633.00	Facility		$143.15	$3,493.00	$3,633.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $144.97 / $239.76	Professional		$106.69	$144.97	$239.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $481.38 / $514.57 / $514.57	Facility		$481.38	$514.57	$514.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.20 / $1,183.50 / $1,183.50	Professional		$671.20	$1,183.50	$1,183.50
United Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $130.63 / $226.33	Professional		$107.06	$130.63	$226.33
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $85.00 / $234.81	Professional	25	$80.00	$85.00	$234.81