Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,187.76 / $4,073.80	Facility		$537.03	$2,187.76	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $588.84	Professional		$158.49	$251.19	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $457.09	Professional		$93.33	$131.83	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $3,467.37	Facility		$1,348.96	$2,290.87	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $501.19	Professional		$194.98	$295.12	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $575.44	Professional		$194.98	$309.03	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $28,840.32	Facility		$3,981.07	$3,981.07	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,238.72	Professional		$1,905.46	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $4,073.80	Facility		$1,174.90	$2,290.87	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $457.09	Professional		$177.83	$263.03	$457.09