Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.37 / $72.53 / $129.78	Facility		$54.37	$72.53	$129.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $75.00 / $147.65	Professional		$56.88	$75.00	$147.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $104.79 / $151.77	Professional		$72.27	$104.79	$151.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $102.09 / $169.10	Professional		$68.92	$102.09	$169.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Facility		$89.96	$89.96	$89.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.72 / $8.72 / $8.72	Facility	AS	$8.72	$8.72	$8.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $95.34 / $148.63	Professional		$70.00	$95.34	$148.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $385.75 / $385.75	Facility		$172.40	$385.75	$385.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $17.23 / $38.58 / $38.58	Facility	AS	$17.23	$38.58	$38.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $459.05 / $459.05 / $469.94	Professional		$459.05	$459.05	$469.94
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $79.30 / $91.22	Professional		$70.42	$79.30	$91.22
United Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $80.12 / $149.78	Professional		$59.87	$80.12	$149.78