Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $72.59 / $129.78	Facility		$54.40	$72.59	$129.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $75.78 / $155.18	Professional		$58.72	$75.78	$155.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $107.04 / $155.02	Professional		$73.81	$107.04	$155.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $105.19 / $168.82	Professional		$70.13	$105.19	$168.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $91.96 / $91.96	Facility		$91.96	$91.96	$91.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $96.72 / $151.26	Professional		$73.78	$96.72	$151.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $399.62 / $399.62	Facility		$174.15	$399.62	$399.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $463.73 / $463.73 / $476.33	Professional		$463.73	$463.73	$476.33
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $80.98 / $128.00	Professional		$70.95	$80.98	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $80.70 / $147.27	Professional		$66.67	$80.70	$147.27