Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $1,791.00 / $6,681.00	Facility		$255.74	$1,791.00	$6,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $150.06 / $275.63	Professional		$83.33	$150.06	$275.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $163.98 / $212.67	Professional		$134.41	$163.98	$212.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,065.00	Facility		$649.00	$1,364.00	$2,065.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $154.66 / $243.30	Professional		$95.41	$154.66	$243.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $162.93 / $300.13	Professional		$94.28	$162.93	$300.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $502.31 / $502.31	Facility		$55.00	$502.31	$502.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $720.56 / $1,242.41 / $1,399.80	Professional		$720.56	$1,242.41	$1,399.80
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 $145.51 / $174.04 / $320.43	Professional		$145.51	$174.04	$320.43