Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $127.88 / $221.15	Facility		$101.49	$127.88	$221.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $122.80	Professional		$102.94	$102.94	$122.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Facility		$102.94	$102.94	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $161.65 / $697.75 / $697.75	Facility		$161.65	$697.75	$697.75
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $163.19	Professional		$102.94	$102.94	$163.19