Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $2,678.00 / $7,602.00	Facility		$109.99	$2,678.00	$7,602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $103.79 / $182.40	Professional		$51.04	$103.79	$182.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $109.31 / $172.80	Professional		$51.05	$109.31	$172.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $1,364.00 / $2,065.00	Facility		$651.00	$1,364.00	$2,065.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $113.33 / $200.20	Professional		$58.67	$113.33	$200.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.86 / $122.74 / $210.61	Professional		$57.86	$122.74	$210.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $294.55 / $294.55	Facility		$55.00	$294.55	$294.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $511.96 / $978.64 / $1,139.84	Professional		$511.96	$978.64	$1,139.84
United Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $786.00 / $2,495.00	Facility		$265.00	$786.00	$2,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $151.58 / $263.06	Professional		$111.80	$151.58	$263.06