Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.79 / $224.68 / $395.00	Facility		$149.79	$224.68	$395.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.79 / $214.88 / $352.08	Professional		$149.79	$214.88	$352.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $231.39 / $300.00 / $772.00	Professional	25	$231.39	$300.00	$772.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.19 / $216.19 / $254.34	Professional		$216.19	$216.19	$254.34
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $216.19 / $216.19 / $281.05	Professional	25	$216.19	$216.19	$281.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $227.69 / $376.66	Professional		$137.55	$227.69	$376.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.82 / $264.76 / $416.98	Professional		$178.82	$264.76	$416.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $853.77 / $927.58 / $927.58	Facility		$853.77	$927.58	$927.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.95 / $1,741.13 / $1,741.13	Professional		$1,202.95	$1,741.13	$1,741.13
United Facility/Professional Professional Modifier Low / Median / High Price $215.71 / $247.94 / $479.08	Professional		$215.71	$247.94	$479.08