Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.39 / $104.71 / $123.19	Facility		$92.39	$104.71	$123.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $104.71 / $138.00	Professional		$83.53	$104.71	$138.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $90.17 / $131.65	Professional		$80.86	$90.17	$131.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $98.27 / $158.57	Professional		$64.08	$98.27	$158.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $128.47 / $252.30	Professional		$101.00	$128.47	$252.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $511.66 / $511.66 / $546.01	Facility		$511.66	$511.66	$546.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $677.79 / $755.78 / $1,023.23	Professional		$677.79	$755.78	$1,023.23
Optum Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $118.97 / $206.16	Professional		$80.00	$118.97	$206.16
United Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $126.72 / $239.44	Professional		$94.13	$126.72	$239.44