Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.34 / $84.34 / $181.60	Facility		$84.34	$84.34	$181.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $103.21 / $203.89	Professional		$79.53	$103.21	$203.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $151.80 / $189.70	Professional		$55.85	$151.80	$189.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $132.79 / $214.00	Professional		$86.02	$132.79	$214.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $145.06 / $203.17	Professional		$84.03	$145.06	$203.17
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 $679.98 / $679.98 / $679.98	Professional		$679.98	$679.98	$679.98
Optum Facility/Professional Professional Modifier Low / Median / High Price $109.57 / $109.57 / $142.16	Professional		$109.57	$109.57	$142.16
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $120.22 / $214.30	Professional		$98.74	$120.22	$214.30