Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.06 / $275.76 / $626.03	Facility		$149.06	$275.76	$626.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.01 / $157.00 / $198.74	Professional		$122.01	$157.00	$198.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $99.37 / $99.37	Professional		$99.37	$99.37	$99.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $166.03 / $198.74	Professional		$106.26	$166.03	$198.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $202.64 / $581.90	Facility		$59.04	$202.64	$581.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $259.22	Professional		$59.04	$60.16	$259.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $317.98 / $944.02 / $944.02	Facility		$317.98	$944.02	$944.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $178.87 / $178.87	Professional		$178.87	$178.87	$178.87
United Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $99.62 / $198.74	Professional		$83.02	$99.62	$198.74