Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $109.65 / $177.83	Facility		$100.00	$109.65	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $194.98	Professional		$93.33	$109.65	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $190.55	Professional		$144.54	$144.54	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $125.89	Professional		$91.20	$91.20	$125.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,584.89	Professional		$1,230.27	$1,584.89	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $158.49	Facility		$64.57	$100.00	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $144.54	Professional		$74.13	$107.15	$144.54