Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $47.10 / $121.51	Facility		$25.46	$47.10	$121.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $28.86 / $32.04	Professional		$25.46	$28.86	$32.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $23.57	Professional		$23.57	$23.57	$23.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $37.71 / $46.31	Professional		$18.67	$37.71	$46.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $73.01 / $130.94	Facility		$22.50	$73.01	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $26.10 / $49.04	Professional		$15.51	$26.10	$49.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $175.00 / $175.00	Facility		$59.06	$175.00	$175.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $23.28 / $47.43	Professional		$14.25	$23.28	$47.43