Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.50 / $113.49 / $239.00	Facility		$108.50	$113.49	$239.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $116.53 / $160.81	Professional		$108.50	$116.53	$160.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $137.11 / $221.75	Professional		$78.59	$137.11	$221.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.47 / $148.80 / $198.43	Facility		$93.47	$148.80	$198.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $163.08 / $261.08	Professional		$111.09	$163.08	$261.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $278.37 / $605.54 / $701.34	Facility		$278.37	$605.54	$701.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $854.73 / $854.73 / $1,135.43	Professional		$854.73	$854.73	$1,135.43
United Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $141.69 / $208.98	Professional		$102.43	$141.69	$208.98