Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.09 / $629.09 / $629.09	Facility		$629.09	$629.09	$629.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.89 / $320.82 / $393.08	Professional		$248.89	$320.82	$393.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.25 / $354.41 / $389.77	Professional		$301.25	$354.41	$389.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.06 / $382.49 / $597.84	Professional		$261.06	$382.49	$597.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,927.28 / $1,927.28 / $1,927.28	Facility		$1,927.28	$1,927.28	$1,927.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,269.04 / $2,460.96 / $3,458.78	Professional		$2,269.04	$2,460.96	$3,458.78
Optum Facility/Professional Professional Modifier Low / Median / High Price $368.47 / $368.47 / $368.47	Professional		$368.47	$368.47	$368.47
United Facility/Professional Professional Modifier Low / Median / High Price $313.20 / $394.26 / $724.23	Professional		$313.20	$394.26	$724.23