Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $83.17 / $97.85	Facility		$73.39	$83.17	$97.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $86.66 / $121.28	Professional		$70.58	$86.66	$121.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.24 / $113.24 / $113.24	Professional		$113.24	$113.24	$113.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $84.47 / $153.18	Professional		$57.26	$84.47	$153.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $98.00 / $162.00	Professional		$67.00	$98.00	$162.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $357.27 / $357.27 / $384.09	Facility		$357.27	$357.27	$384.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $507.82 / $590.30 / $737.78	Professional		$507.82	$590.30	$737.78
Optum Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $107.35 / $173.73	Professional		$88.53	$107.35	$173.73
United Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $109.80 / $220.31	Professional		$84.74	$109.80	$220.31