Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $177.10 / $296.85	Facility		$136.22	$177.10	$296.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.66 / $164.84	Professional		$136.22	$136.66	$164.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.22	Professional		$136.22	$136.22	$136.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $142.66 / $163.22	Professional		$132.72	$142.66	$163.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $136.66 / $136.66	Facility		$132.91	$136.66	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Professional		$136.66	$136.66	$136.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.56 / $181.79 / $683.35	Facility		$176.56	$181.79	$683.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $586.87 / $586.87 / $586.87	Professional		$586.87	$586.87	$586.87
United Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $136.66 / $152.13	Professional		$129.84	$136.66	$152.13