Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $89.13 / $173.78	Facility		$77.62	$89.13	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $354.81	Professional		$77.62	$114.82	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $177.83	Professional		$93.33	$114.82	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $269.15	Professional		$109.65	$158.49	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $223.87	Professional		$100.00	$138.04	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Optum Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $128.82	Professional		$102.33	$117.49	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $199.53	Professional		$85.11	$114.82	$199.53