Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.17 / $209.75 / $209.75	Facility		$93.17	$209.75	$209.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $109.31 / $166.20	Professional		$76.34	$109.31	$166.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $123.18 / $152.16	Professional		$108.31	$123.18	$152.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $127.76 / $195.83	Professional		$80.38	$127.76	$195.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $117.95 / $117.95	Facility		$89.31	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.47 / $135.02 / $199.41	Professional		$94.47	$135.02	$199.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.13 / $431.16 / $431.16	Facility		$398.13	$431.16	$431.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $583.45 / $746.21 / $746.21	Professional		$583.45	$746.21	$746.21
Optum Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $129.79 / $190.30	Professional		$97.07	$129.79	$190.30
United Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $129.66 / $218.06	Professional		$102.96	$129.66	$218.06