Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.93 / $923.71 / $4,069.00	Facility		$231.93	$923.71	$4,069.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $219.43 / $392.12	Professional		$123.58	$219.43	$392.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.79 / $254.97 / $284.31	Professional		$231.79	$254.97	$284.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,186.00	Facility		$649.00	$1,364.00	$2,186.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $234.29 / $359.69	Professional		$142.94	$234.29	$359.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.80 / $271.12 / $463.86	Professional		$155.80	$271.12	$463.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,002.72 / $1,020.66	Facility		$55.00	$1,002.72	$1,020.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.68 / $1,887.12 / $2,204.03	Professional		$1,061.68	$1,887.12	$2,204.03
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $794.00 / $2,577.00	Facility		$294.00	$794.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.58 / $259.82 / $486.73	Professional		$207.58	$259.82	$486.73