Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $131.13 / $1,006.08	Facility		$108.47	$131.13	$1,006.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $136.60	Professional		$108.47	$108.47	$136.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $109.28 / $109.28	Professional		$109.28	$109.28	$109.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $130.94 / $170.28	Professional		$109.29	$130.94	$170.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $108.47 / $136.05	Facility		$108.47	$108.47	$136.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Professional		$108.47	$108.47	$108.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $1,578.65 / $1,578.65	Facility		$581.41	$1,578.65	$1,578.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.40 / $1,698.40 / $1,698.40	Professional		$1,698.40	$1,698.40	$1,698.40
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $127.99	Professional		$108.47	$108.47	$127.99