Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.67 / $78.95 / $92.90	Facility		$69.67	$78.95	$92.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $83.48 / $114.39	Professional		$67.20	$83.48	$114.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $78.18 / $81.73	Professional		$54.22	$78.18	$81.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $78.25 / $138.08	Professional		$54.37	$78.25	$138.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $91.00 / $159.00	Professional		$65.00	$91.00	$159.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $339.11 / $362.05	Facility		$339.11	$339.11	$362.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $492.36 / $555.30 / $680.85	Professional		$492.36	$555.30	$680.85
Optum Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $94.43 / $161.69	Professional		$80.26	$94.43	$161.69
United Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $101.00 / $190.33	Professional		$79.18	$101.00	$190.33