Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.60 / $170.60 / $170.60	Facility		$170.60	$170.60	$170.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $176.56 / $206.32	Professional		$138.75	$176.56	$206.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.30 / $230.30 / $242.77	Professional		$230.30	$230.30	$242.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.97 / $249.56 / $276.36	Professional		$207.97	$249.56	$276.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $215.49	Facility		$160.96	$160.96	$215.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $215.49	Professional		$136.82	$160.96	$215.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $319.93 / $1,154.28 / $1,154.28	Facility		$319.93	$1,154.28	$1,154.28
United Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $146.94 / $240.13	Professional		$90.56	$146.94	$240.13