Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.64 / $1,367.00 / $6,214.00	Facility		$300.64	$1,367.00	$6,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $265.49 / $485.03	Professional		$169.60	$265.49	$485.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $176.66 / $390.15	Professional		$126.80	$176.66	$390.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $1,487.00 / $2,257.00	Facility		$756.00	$1,487.00	$2,257.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.01 / $293.69 / $456.39	Professional		$190.01	$293.69	$456.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $331.81 / $628.84	Professional		$212.45	$331.81	$628.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,372.98 / $1,401.12	Facility		$55.00	$1,372.98	$1,401.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.64 / $2,265.84 / $2,635.95	Professional		$1,454.64	$2,265.84	$2,635.95
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 $265.97 / $314.49 / $602.41	Professional		$265.97	$314.49	$602.41