Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $154.88 / $331.13	Facility		$125.89	$154.88	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $229.09	Professional		$125.89	$158.49	$229.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	25	$239.88	$239.88	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $181.97	Professional		$138.04	$162.18	$181.97
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $144.54 / $173.78	Professional	25	$138.04	$144.54	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $288.40	Professional		$169.82	$229.09	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,023.29 / $1,023.29	Facility		$173.78	$1,023.29	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $151.36	Facility		$128.82	$128.82	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $331.13	Professional		$114.82	$177.83	$331.13