Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.07 / $189.54 / $333.50	Facility		$110.07	$189.54	$333.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $158.81 / $321.94	Professional		$110.07	$158.81	$321.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $180.57 / $240.52 / $578.00	Professional	25	$180.57	$240.52	$578.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $159.53 / $187.69	Professional		$108.54	$159.53	$187.69
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $159.53 / $159.54 / $332.21	Professional	25	$159.53	$159.54	$332.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $162.59 / $273.70	Professional		$100.94	$162.59	$273.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $194.15 / $295.42	Professional		$131.59	$194.15	$295.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $628.24 / $683.24 / $683.24	Facility		$628.24	$683.24	$683.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $887.76 / $1,291.38 / $1,291.38	Professional		$887.76	$1,291.38	$1,291.38
Optum Facility/Professional Professional Modifier Low / Median / High Price $174.02 / $174.02 / $174.02	Professional		$174.02	$174.02	$174.02
United Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $184.82 / $310.95	Professional		$147.66	$184.82	$310.95