Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $60.72 / $152.34	Facility		$25.71	$60.72	$152.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $110.32 / $171.95	Professional		$81.76	$110.32	$171.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $211.00 / $269.02	Professional		$93.78	$211.00	$269.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $187.00 / $288.18	Professional		$102.55	$187.00	$288.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.59 / $243.13 / $326.14	Facility		$132.59	$243.13	$326.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $180.37 / $309.52	Professional		$105.82	$180.37	$309.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $255.33 / $668.04 / $668.04	Facility		$255.33	$668.04	$668.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $810.58 / $810.58 / $1,053.68	Professional		$810.58	$810.58	$1,053.68
United Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $163.93 / $266.66	Professional		$124.54	$163.93	$266.66