Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,137.96 / $4,073.80	Facility		$467.74	$2,137.96	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $245.47	Professional		$51.29	$104.71	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $147.91	Professional		$100.00	$114.82	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $2,137.96	Facility		$724.44	$1,513.56	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $223.87	Professional		$77.62	$131.83	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $245.47	Professional		$74.13	$138.04	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $1,584.89 / $1,584.89	Facility		$54.95	$1,584.89	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,000.00	Professional		$891.25	$1,000.00	$1,000.00
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 $61.66 / $117.49 / $208.93	Professional		$61.66	$117.49	$208.93