Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $199.53	Facility		$89.13	$107.15	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $331.13	Professional		$87.10	$131.83	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $144.54	Professional		$93.33	$100.00	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $229.09	Professional		$95.50	$138.04	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $208.93	Professional		$102.33	$151.36	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Optum Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $190.55	Professional		$81.28	$112.20	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $107.15	Facility		$70.79	$70.79	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $223.87	Professional		$95.50	$128.82	$223.87