Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $426.58 / $549.54	Facility		$204.17	$426.58	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $295.12	Professional		$169.82	$213.80	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $426.58	Professional		$112.20	$239.88	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $213.80	Facility		$125.89	$177.83	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $436.52	Professional		$158.49	$239.88	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,737.80	Professional		$1,380.38	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $389.05	Professional		$147.91	$223.87	$389.05