Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $218.78 / $257.04	Facility		$54.95	$218.78	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $316.23	Professional		$204.17	$234.42	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $275.42	Professional		$144.54	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $562.34 / $977.24	Facility		$177.83	$562.34	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,041.74	Professional		$1,380.38	$2,041.74	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $275.42 / $275.42	Facility		$100.00	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $275.42	Professional		$114.82	$165.96	$275.42