Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $240.08	Facility		$134.88	$134.88	$240.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $141.63	Professional		$134.88	$134.88	$141.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $179.42 / $199.01 / $633.20	Facility		$179.42	$199.01	$633.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $633.20 / $633.20 / $633.20	Professional		$633.20	$633.20	$633.20
United Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $134.88 / $134.88	Professional		$128.15	$134.88	$134.88