Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.55 / $215.91 / $552.74	Facility		$129.55	$215.91	$552.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.55 / $134.72 / $164.09	Professional		$129.55	$134.72	$164.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $93.27 / $107.96	Professional		$93.27	$93.27	$107.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $203.72 / $242.31	Professional		$92.25	$203.72	$242.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.27 / $432.61 / $577.92	Facility		$112.27	$432.61	$577.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $115.53 / $387.21	Professional		$77.77	$115.53	$387.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.55 / $820.47 / $820.47	Facility		$300.55	$820.47	$820.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $863.65 / $863.65 / $1,295.48	Professional		$863.65	$863.65	$1,295.48
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $103.64 / $172.73	Professional		$72.55	$103.64	$172.73