Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $101.18 / $182.57	Professional		$68.34	$101.18	$182.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $108.05 / $153.43	Professional		$91.84	$108.05	$153.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $117.60 / $188.39	Professional		$79.56	$117.60	$188.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $110.81 / $110.81	Facility		$70.56	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $125.61 / $194.92	Professional		$85.80	$125.61	$194.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $373.93 / $405.70 / $405.70	Facility		$373.93	$405.70	$405.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $526.12 / $743.11 / $743.11	Professional		$526.12	$743.11	$743.11
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $127.91 / $190.30	Professional		$105.00	$127.91	$190.30
United Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $126.73 / $209.69	Professional		$97.93	$126.73	$209.69