Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.29 / $118.19 / $139.05	Facility		$104.29	$118.19	$139.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $123.60 / $162.96	Professional		$99.54	$123.60	$162.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $107.57 / $163.07	Professional		$85.86	$107.57	$163.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $131.36 / $191.85	Professional		$90.65	$131.36	$191.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $163.29 / $279.20	Professional		$100.49	$163.29	$279.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $610.08 / $610.08 / $651.46	Facility		$610.08	$610.08	$651.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $825.21 / $924.30 / $1,226.25	Professional		$825.21	$924.30	$1,226.25
Optum Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $135.36 / $197.35	Professional		$95.00	$135.36	$197.35
United Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $143.74 / $257.67	Professional		$105.98	$143.74	$257.67