Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $254.38 / $651.20	Facility		$152.63	$254.38	$651.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $158.72 / $193.33	Professional		$152.63	$158.72	$193.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $203.50 / $284.89	Professional		$75.00	$203.50	$284.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.13 / $491.14 / $726.05	Facility		$114.13	$491.14	$726.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $136.13 / $421.30	Professional		$91.73	$136.13	$421.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $354.09 / $966.63 / $966.63	Facility		$354.09	$966.63	$966.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.50 / $1,017.50 / $1,526.25	Professional		$1,017.50	$1,017.50	$1,526.25
United Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $254.38	Facility		$203.50	$203.50	$254.38
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $122.10 / $221.66	Professional		$85.47	$122.10	$221.66