Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.92 / $252.92 / $284.32	Facility		$252.92	$252.92	$284.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.92 / $267.35 / $308.39	Professional		$252.92	$267.35	$308.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $261.58 / $304.50	Professional		$261.58	$261.58	$304.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.68 / $421.02 / $421.02	Professional		$280.68	$421.02	$421.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
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 $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47
United Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47