Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $151.36	Facility		$85.11	$85.11	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $169.82	Professional		$85.11	$104.71	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Professional		$151.36	$151.36	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $123.03	Professional		$89.13	$89.13	$123.03
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 $1,288.25 / $1,698.24 / $1,698.24	Professional		$1,288.25	$1,698.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $128.82 / $151.36	Facility		$75.86	$128.82	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $147.91	Professional		$67.61	$97.72	$147.91