Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $58.88 / $79.43	Facility		$57.54	$58.88	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $95.50	Professional		$54.95	$70.79	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $72.44	Professional		$63.10	$63.10	$72.44
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $102.33 / $102.33 / $102.33	Professional	25	$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $154.88	Professional		$61.66	$75.86	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $158.49	Professional		$64.57	$91.20	$158.49