Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.11 / $2,303.00 / $6,681.00	Facility		$191.11	$2,303.00	$6,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $192.62 / $273.43	Professional		$130.46	$192.62	$273.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.69 / $220.69 / $220.69	Professional		$220.69	$220.69	$220.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,063.00	Facility		$649.00	$1,364.00	$2,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $222.74 / $361.53	Professional		$146.00	$222.74	$361.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.87 / $223.37 / $457.49	Professional		$147.87	$223.37	$457.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.30 / $1,093.56 / $11,500.00	Facility		$1,071.30	$1,093.56	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.52 / $1,708.48 / $1,991.33	Professional		$1,133.52	$1,708.48	$1,991.33
United Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,560.00 / $2,914.00	Facility		$695.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.08 / $244.69 / $469.92	Professional		$208.08	$244.69	$469.92