Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.63 / $127.72 / $231.59	Facility		$102.63	$127.72	$231.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $133.41 / $231.59	Professional		$101.39	$133.41	$231.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $172.11 / $249.25	Professional		$118.69	$172.11	$249.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $169.61 / $272.20	Professional		$113.07	$169.61	$272.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.03 / $149.03 / $149.03	Facility		$149.03	$149.03	$149.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.93 / $176.62 / $256.20	Professional		$124.93	$176.62	$256.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $282.95 / $634.03 / $634.03	Facility		$282.95	$634.03	$634.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $827.90 / $827.90 / $827.90	Professional		$827.90	$827.90	$827.90
Optum Facility/Professional Professional Modifier Low / Median / High Price $123.95 / $142.08 / $172.50	Professional		$123.95	$142.08	$172.50
United Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $149.00 / $265.10	Professional		$118.25	$149.00	$265.10