Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $147.91 / $323.59	Facility		$23.99	$147.91	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $66.07	Professional		$20.89	$26.92	$66.07
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $72.44 / $72.44 / $204.17	Professional	CQ	$72.44	$72.44	$204.17
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	CQ	$27.54	$27.54	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $67.61	Professional		$31.62	$40.74	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $100.00	Facility		$54.95	$64.57	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $63.10	Professional		$19.05	$37.15	$63.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $309.03 / $309.03	Professional		$52.48	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $40.74	Professional		$29.51	$35.48	$40.74