Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $245.47 / $602.56	Facility		$85.11	$245.47	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $371.54	Professional		$81.28	$85.11	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $213.80	Professional		$77.62	$87.10	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $107.15	Professional		$93.33	$100.00	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Professional		$85.11	$85.11	$87.10