Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $165.96 / $269.15	Facility		$151.36	$165.96	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $295.12	Professional		$138.04	$165.96	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $275.42	Professional		$257.04	$257.04	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,290.87	Professional		$1,949.84	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $151.36 / $190.55	Facility		$95.50	$151.36	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $218.78	Professional		$112.20	$162.18	$218.78