Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $112.20	Facility		$51.29	$69.18	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $85.11	Professional		$52.48	$64.57	$85.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.45 / $70.79 / $75.86	Professional	25	$14.45	$70.79	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $81.28	Professional		$57.54	$67.61	$81.28
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $66.07 / $70.79	Professional	25	$66.07	$66.07	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $120.23	Professional		$69.18	$95.50	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $426.58 / $426.58	Facility		$100.00	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $63.10	Facility		$53.70	$53.70	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $144.54	Professional		$58.88	$74.13	$144.54