Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $126.66 / $199.07	Professional		$103.50	$126.66	$199.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $154.72 / $245.30	Professional		$123.78	$154.72	$245.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $171.03 / $274.02	Professional		$119.03	$171.03	$274.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $174.66 / $292.39	Professional		$130.66	$174.66	$292.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $289.82 / $295.83 / $640.97	Facility		$289.82	$295.83	$640.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.50 / $1,352.50 / $1,352.50	Professional		$1,352.50	$1,352.50	$1,352.50
United Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $150.34 / $246.67	Professional		$119.03	$150.34	$246.67