Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.42 / $137.54 / $463.49	Facility		$114.42	$137.54	$463.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $112.98 / $137.60	Professional		$108.63	$112.98	$137.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $100.58 / $100.58	Professional		$86.90	$100.58	$100.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $184.50 / $233.70	Professional		$92.25	$184.50	$233.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.15 / $362.21 / $560.99	Facility		$94.15	$362.21	$560.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $107.09 / $375.62	Professional		$65.91	$107.09	$375.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $252.02 / $687.99 / $687.99	Facility		$252.02	$687.99	$687.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.20 / $724.20 / $1,086.30	Professional		$724.20	$724.20	$1,086.30
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $98.80 / $197.59	Professional		$60.83	$98.80	$197.59