Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $15.96 / $30.96	Facility		$15.96	$15.96	$30.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $15.16 / $23.01	Professional		$7.77	$15.16	$23.01
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $0.30 / $16.53 / $17.54	Professional	25	$0.30	$16.53	$17.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.91 / $5.99 / $9.63	Professional	52	$3.91	$5.99	$9.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $16.89 / $24.04	Professional		$13.47	$16.89	$24.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $15.27 / $26.80	Professional		$8.21	$15.27	$26.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $73.13 / $146.69	Professional		$66.75	$73.13	$146.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $20.14 / $35.46	Professional		$15.75	$20.14	$35.46