Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.06 / $118.39 / $201.37	Facility		$89.06	$118.39	$201.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $124.00 / $181.58	Professional		$92.52	$124.00	$181.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $92.36 / $92.36	Professional		$92.36	$92.36	$92.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.52 / $137.93 / $215.54	Professional		$87.52	$137.93	$215.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Facility		$113.69	$113.69	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $152.06 / $208.96	Professional		$103.18	$152.06	$208.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $217.84 / $488.06 / $488.06	Facility		$217.84	$488.06	$488.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $699.89 / $699.89 / $699.89	Professional		$699.89	$699.89	$699.89
Optum Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $122.27 / $154.00	Professional		$95.29	$122.27	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $128.19 / $227.93	Professional		$100.21	$128.19	$227.93