Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.58 / $169.58 / $169.58	Facility		$169.58	$169.58	$169.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $102.30 / $194.82	Professional		$67.50	$102.30	$194.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.65 / $442.50 / $458.61	Facility		$160.65	$442.50	$458.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $542.51 / $542.51 / $707.18	Professional		$542.51	$542.51	$707.18
United Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $108.00 / $194.40	Professional		$79.90	$108.00	$194.40