Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $124.03 / $135.52	Facility		$25.60	$124.03	$135.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $135.52 / $232.15	Professional		$116.93	$135.52	$232.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $206.76 / $413.52	Professional		$142.36	$206.76	$413.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $248.11 / $248.11	Professional		$164.26	$248.11	$248.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $146.03	Facility		$142.00	$142.00	$146.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $103.66 / $142.00	Professional		$103.66	$103.66	$142.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $430.75 / $1,281.52 / $1,281.52	Facility		$430.75	$1,281.52	$1,281.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.26 / $1,380.26 / $2,007.15	Professional		$1,380.26	$1,380.26	$2,007.15
United Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $133.25 / $191.71	Professional		$91.69	$133.25	$191.71