Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.13 / $145.13 / $145.13	Facility		$145.13	$145.13	$145.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $76.95 / $129.00	Professional		$58.13	$76.95	$129.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.59 / $87.39 / $260.80	Professional	25	$66.59	$87.39	$260.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $88.05 / $136.41	Professional		$63.92	$88.05	$136.41
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $71.47 / $88.05 / $154.44	Professional	25	$71.47	$88.05	$154.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $95.00 / $147.69	Professional		$66.34	$95.00	$147.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $103.21 / $155.11	Professional		$74.37	$103.21	$155.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $368.17 / $368.17	Facility		$339.11	$368.17	$368.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $477.95 / $525.69 / $525.69	Professional		$477.95	$525.69	$525.69
United Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $93.07 / $154.97	Professional		$73.93	$93.07	$154.97
United Facility/Professional Professional Modifier 25 Low / Median / High Price $70.00 / $98.97 / $99.10	Professional	25	$70.00	$98.97	$99.10