Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $218.78 / $302.00	Facility		$204.17	$218.78	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $316.23	Professional		$173.78	$218.78	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $275.42	Professional		$128.82	$245.47	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $562.34 / $977.24	Facility		$173.78	$562.34	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,041.74	Professional		$1,380.38	$2,041.74	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $245.47 / $275.42	Facility		$89.13	$245.47	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $245.47	Professional		$104.71	$147.91	$245.47