Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $15.73 / $150.00	Facility		$15.73	$15.73	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $19.00 / $25.00	Professional		$15.73	$19.00	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $29.44 / $33.54	Professional		$29.44	$29.44	$33.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $42.31 / $80.45	Professional		$28.35	$42.31	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $28.08 / $81.37	Professional		$21.00	$28.08	$81.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.99 / $101.99 / $101.99	Facility		$101.99	$101.99	$101.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $259.38 / $410.25	Professional		$256.41	$259.38	$410.25
Optum Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $29.88 / $54.08	Professional		$29.88	$29.88	$54.08
United Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $57.56 / $106.56	Professional		$41.86	$57.56	$106.56