Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $389.05	Facility		$218.78	$251.19	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $575.44	Professional		$218.78	$302.00	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $3,715.35	Professional		$2,630.27	$3,715.35	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $676.08	Professional		$645.65	$676.08	$676.08