Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $1,367.00 / $4,212.85	Facility		$187.20	$1,367.00	$4,212.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $148.25 / $315.66	Professional		$69.29	$148.25	$315.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $317.16 / $317.16 / $317.16	Professional		$317.16	$317.16	$317.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,270.00 / $2,151.00 / $2,805.00	Facility		$1,270.00	$2,151.00	$2,805.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $172.54 / $380.00	Professional		$83.49	$172.54	$380.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $190.15 / $371.76	Professional		$92.78	$190.15	$371.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $418.95 / $424.22 / $12,000.00	Facility		$418.95	$424.22	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $850.70 / $1,637.60 / $1,902.08	Professional		$850.70	$1,637.60	$1,902.08
United Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,535.00 / $2,914.00	Facility		$695.00	$1,535.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.87 / $254.07 / $521.54	Professional		$169.87	$254.07	$521.54