Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.22 / $99.90 / $172.73	Facility		$80.22	$99.90	$172.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $102.93 / $177.22	Professional		$80.40	$102.93	$177.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $157.27 / $232.87	Professional		$104.53	$157.27	$232.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $149.07 / $242.01	Professional		$99.60	$149.07	$242.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $129.88 / $129.88	Facility		$129.88	$129.88	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $139.32 / $214.35	Professional		$106.87	$139.32	$214.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $247.06 / $564.82 / $564.82	Facility		$247.06	$564.82	$564.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $657.86 / $657.86 / $674.51	Professional		$657.86	$657.86	$674.51
Optum Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $114.88 / $145.00	Professional		$104.09	$114.88	$145.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $116.17 / $205.37	Professional		$96.74	$116.17	$205.37