Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $107.15 / $162.18	Facility		$35.48	$107.15	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $107.15 / $181.97	Professional		$38.02	$107.15	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $109.65 / $199.53	Professional		$43.65	$109.65	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $107.15 / $123.03	Facility		$66.07	$107.15	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $120.23 / $245.47	Professional		$42.66	$120.23	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $102.33 / $208.93	Professional		$39.81	$102.33	$208.93