Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $229.86 / $283.76	Facility		$229.86	$229.86	$283.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $142.94 / $215.63	Professional		$108.30	$142.94	$215.63
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $153.05 / $255.07 / $261.39	Professional	25	$153.05	$255.07	$261.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $179.36 / $262.93	Professional		$141.25	$179.36	$262.93
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $156.49 / $158.22 / $299.30	Professional	25	$156.49	$158.22	$299.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $172.96 / $269.47	Professional		$120.22	$172.96	$269.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $653.54 / $653.54 / $653.54	Facility		$653.54	$653.54	$653.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $828.70 / $1,045.69 / $1,361.18	Professional		$828.70	$1,045.69	$1,361.18
United Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $168.37 / $281.45	Professional		$114.13	$168.37	$281.45