Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $138.04	Facility		$74.13	$104.71	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $199.53	Professional		$72.44	$112.20	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $128.82	Professional		$83.18	$109.65	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $208.93	Professional		$85.11	$131.83	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $134.90	Facility		$89.13	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $194.98	Professional		$93.33	$128.82	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Optum Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $181.97	Professional		$93.33	$128.82	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $190.55	Professional		$87.10	$120.23	$190.55