Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $168.42 / $292.08	Facility		$129.19	$168.42	$292.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.24 / $159.16 / $264.38	Professional		$125.24	$159.16	$264.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $368.00 / $368.00 / $368.00	Professional		$368.00	$368.00	$368.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $193.60 / $298.27	Professional		$121.83	$193.60	$298.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $220.07 / $303.47	Professional		$143.13	$220.07	$303.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.89 / $681.03 / $681.03	Facility		$300.89	$681.03	$681.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.75 / $1,010.75 / $1,010.75	Professional		$1,010.75	$1,010.75	$1,010.75
Optum Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $162.85 / $190.30	Professional		$132.63	$162.85	$190.30
United Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Facility		$31.00	$31.00	$31.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $186.11 / $335.20	Professional		$142.00	$186.11	$335.20