Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $120.70 / $137.63	Facility		$103.22	$120.70	$137.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.73 / $125.71 / $173.78	Professional		$101.73	$125.71	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $117.76 / $143.21	Professional		$117.76	$117.76	$143.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $121.28 / $232.69	Professional		$81.27	$121.28	$232.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $150.83 / $306.08	Professional		$102.90	$150.83	$306.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $547.98 / $547.98 / $591.95	Facility		$547.98	$547.98	$591.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $786.09 / $794.81 / $1,068.00	Professional		$786.09	$794.81	$1,068.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $104.56 / $133.08	Professional		$94.49	$104.56	$133.08
United Facility/Professional Professional Modifier Low / Median / High Price $113.58 / $160.53 / $310.67	Professional		$113.58	$160.53	$310.67