Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.41 / $200.41 / $228.00	Facility		$200.41	$200.41	$228.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $214.96 / $266.33	Professional		$200.41	$214.96	$266.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.29 / $237.30 / $237.30	Professional		$236.29	$237.30	$237.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.70 / $380.55 / $380.55	Professional		$253.70	$380.55	$380.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49