Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $186.21	Facility		$107.15	$107.15	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $117.49	Professional		$107.15	$107.15	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $120.23	Professional		$107.15	$107.15	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $501.19 / $501.19	Professional		$457.09	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $125.89	Professional		$79.43	$100.00	$125.89