Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $129.25 / $249.30	Facility		$22.35	$129.25	$249.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.96 / $45.88	Professional		$19.55	$24.96	$45.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $13.97 / $68.44	Professional		$12.57	$13.97	$68.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $31.04 / $38.11	Professional		$18.16	$31.04	$38.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $59.87 / $108.36	Facility		$18.52	$59.87	$108.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $23.42 / $40.99	Professional		$12.68	$23.42	$40.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $133.26 / $133.26	Facility		$48.62	$133.26	$133.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $25.02 / $25.15	Professional		$25.02	$25.02	$25.15
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $19.21 / $39.04	Professional		$11.73	$19.21	$39.04