Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $121.25 / $227.29	Professional		$80.05	$121.25	$227.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $118.01 / $186.73	Professional		$79.45	$118.01	$186.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $129.36 / $207.19	Professional		$90.19	$129.36	$207.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.62 / $125.60 / $125.60	Facility		$79.62	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $139.00 / $213.90	Professional		$95.61	$139.00	$213.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $423.87 / $458.76 / $458.76	Facility		$423.87	$458.76	$458.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $598.54 / $817.69 / $817.69	Professional		$598.54	$817.69	$817.69
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $139.94 / $190.30	Professional		$105.00	$139.94	$190.30
United Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $137.59 / $230.11	Professional		$110.11	$137.59	$230.11