Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.07 / $154.07 / $177.88	Facility		$154.07	$154.07	$177.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $167.73 / $214.06	Professional		$154.07	$167.73	$214.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $188.65 / $216.17	Professional		$188.65	$188.65	$216.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $300.26 / $300.26	Professional		$200.17	$300.26	$300.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
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 $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71