Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.84 / $97.75 / $254.00	Facility		$94.84	$97.75	$254.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $106.35 / $164.39	Professional		$92.15	$106.35	$164.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $111.00 / $144.74	Professional		$89.74	$111.00	$144.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $133.78 / $201.54	Professional		$93.78	$133.78	$201.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $133.57 / $237.17	Professional		$99.89	$133.57	$237.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.34 / $520.60 / $520.60	Facility		$478.34	$520.60	$520.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $625.05 / $631.55 / $878.03	Professional		$625.05	$631.55	$878.03
United Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $128.44 / $218.29	Professional		$95.23	$128.44	$218.29