Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $117.49 / $154.88	Facility		$104.71	$117.49	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $190.55	Professional		$104.71	$131.83	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $154.88	Professional		$95.50	$117.49	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $234.42	Professional		$112.20	$158.49	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $263.03	Professional		$100.00	$158.49	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,230.27	Professional		$933.25	$1,230.27	$1,230.27
Optum Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $213.80	Professional		$95.50	$134.90	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $257.04	Professional		$107.15	$147.91	$257.04