Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $218.78	Facility		$165.96	$165.96	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $269.15	Professional		$144.54	$199.53	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $199.53	Professional		$169.82	$169.82	$199.53
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $154.88 / $154.88 / $158.49	Professional	25	$154.88	$154.88	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $407.38	Professional		$158.49	$208.93	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,348.96 / $1,348.96	Facility		$213.80	$1,348.96	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $407.38	Professional		$181.97	$223.87	$407.38