Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $204.17 / $338.84	Facility		$151.36	$204.17	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $467.74	Professional		$134.90	$194.98	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $275.42	Professional		$141.25	$173.78	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $398.11	Professional		$165.96	$234.42	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $363.08	Professional		$169.82	$257.04	$363.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Optum Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $245.47	Professional		$165.96	$194.98	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $186.21	Facility		$123.03	$123.03	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $380.19	Professional		$165.96	$218.78	$380.19