Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.69 / $126.69 / $126.69	Facility		$126.69	$126.69	$126.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $68.53 / $108.83	Professional		$56.00	$68.53	$108.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.80 / $209.60 / $245.55	Professional	25	$96.80	$209.60	$245.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $55.26 / $67.56	Professional		$55.26	$55.26	$67.56
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $131.66 / $131.66 / $131.66	Professional	25	$131.66	$131.66	$131.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $88.00 / $133.88	Professional		$61.17	$88.00	$133.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $94.42 / $140.09	Professional		$67.20	$94.42	$140.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $320.91 / $348.46 / $348.46	Facility		$320.91	$348.46	$348.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $450.62 / $454.95 / $454.95	Professional		$450.62	$454.95	$454.95
United Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $81.48 / $134.69	Professional		$64.73	$81.48	$134.69
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07