Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $40.98 / $187.50	Facility		$23.32	$40.98	$187.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $26.32 / $33.96	Professional		$22.15	$26.32	$33.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $14.77 / $72.34	Professional		$13.29	$14.77	$72.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $32.81 / $40.29	Professional		$16.23	$32.81	$40.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $63.52 / $114.00	Facility		$19.57	$63.52	$114.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $22.71 / $44.91	Professional		$13.42	$22.71	$44.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $142.00 / $198.00	Facility		$60.50	$142.00	$198.00
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $20.30 / $41.26	Professional		$12.40	$20.30	$41.26