Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $103.02 / $121.20	Facility		$90.90	$103.02	$121.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $111.13 / $151.11	Professional		$90.90	$111.13	$151.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $112.34 / $115.47	Professional		$88.40	$112.34	$115.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.53 / $97.20 / $181.09	Professional		$61.53	$97.20	$181.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $119.00 / $212.44	Professional		$87.00	$119.00	$212.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $496.55 / $496.55 / $531.86	Facility		$496.55	$496.55	$531.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.69 / $747.63 / $979.58	Professional		$671.69	$747.63	$979.58
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $126.32 / $212.59	Professional		$105.52	$126.32	$212.59
United Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $139.41 / $244.85	Professional		$106.01	$139.41	$244.85