Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $398.11 / $512.86	Facility		$190.55	$398.11	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $354.81	Professional		$186.21	$213.80	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $251.19	Professional		$208.93	$213.80	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $446.68	Professional		$213.80	$295.12	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $457.09	Professional		$199.53	$269.15	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,698.24	Professional		$1,288.25	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $407.38	Professional		$190.55	$251.19	$407.38