Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,778.28 / $4,073.80	Facility		$239.88	$1,778.28	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $501.19	Professional		$173.78	$257.04	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $162.18	Professional		$158.49	$158.49	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $2,951.21	Facility		$1,258.93	$2,187.76	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $537.03	Professional		$218.78	$323.59	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $588.84	Professional		$199.53	$302.00	$588.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $13,489.63	Facility		$2,041.74	$2,041.74	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,511.89	Professional		$2,137.96	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,445.44 / $2,884.03	Facility		$741.31	$1,445.44	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $501.19	Professional		$199.53	$288.40	$501.19