Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $147.91	Professional		$95.50	$117.49	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $169.82	Professional		$165.96	$165.96	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $204.17	Professional		$144.54	$169.82	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $131.83	Facility		$128.82	$128.82	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $131.83	Professional		$109.65	$128.82	$131.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $954.99 / $954.99	Facility		$204.17	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $79.43 / $125.89	Facility		$10.72	$79.43	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $165.96	Professional		$67.61	$112.20	$165.96