Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $2,311.00 / $12,108.46	Facility		$575.00	$2,311.00	$12,108.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $188.54 / $376.40	Professional		$131.97	$188.54	$376.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $263.33 / $263.33	Professional		$263.33	$263.33	$263.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $145.00 / $617.00	Facility		$101.00	$145.00	$617.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $249.03 / $367.15	Professional		$163.36	$249.03	$367.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $473.89 / $967.31 / $1,054.26	Facility		$473.89	$967.31	$1,054.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.92 / $1,553.04 / $1,808.03	Professional		$1,509.92	$1,553.04	$1,808.03
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $808.00 / $2,577.00	Facility		$294.00	$808.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $241.15 / $561.04	Professional		$148.40	$241.15	$561.04