Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.25 / $197.90 / $449.29	Facility		$111.25	$197.90	$449.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $112.68 / $171.16	Professional		$106.97	$112.68	$171.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $71.31	Professional		$71.31	$71.31	$71.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $175.02 / $331.70	Professional		$91.51	$175.02	$331.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $357.12 / $509.76	Facility		$88.42	$357.12	$509.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $95.90 / $310.60	Professional		$64.29	$95.90	$310.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $677.49 / $677.49	Facility		$248.18	$677.49	$677.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $713.15 / $713.15 / $1,069.73	Professional		$713.15	$713.15	$1,069.73
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $91.28 / $176.34	Professional		$59.90	$91.28	$176.34