Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $52.67 / $4,700.00	Facility		$25.55	$52.67	$4,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $28.93 / $57.78	Professional		$25.08	$28.93	$57.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $30.37 / $48.46	Professional		$21.72	$30.37	$48.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $36.57 / $58.66	Professional		$26.15	$36.57	$58.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Facility		$29.00	$29.00	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $37.54 / $61.25	Professional		$26.59	$37.54	$61.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.71 / $113.54 / $123.22	Facility		$59.71	$113.54	$123.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $166.47 / $201.08	Professional		$166.47	$166.47	$201.08
United Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $34.18 / $58.12	Professional		$24.80	$34.18	$58.12