Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $969.50 / $3,230.00	Facility		$76.56	$969.50	$3,230.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $489.73 / $489.73 / $489.73	Facility	50	$489.73	$489.73	$489.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $56.16 / $147.85	Professional		$35.60	$56.16	$147.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.91 / $183.60 / $376.50	Professional	50	$74.91	$183.60	$376.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $72.68 / $100.35	Professional		$48.19	$72.68	$100.35
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.25 / $104.52 / $123.86	Professional	50	$74.25	$104.52	$123.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,063.00	Facility		$649.00	$1,364.00	$2,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $64.40 / $100.58	Professional		$42.83	$64.40	$100.58
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 $46.13 / $68.09 / $103.56	Professional		$46.13	$68.09	$103.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $189.38 / $189.38	Facility		$55.00	$189.38	$189.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $488.55 / $632.14	Professional		$282.95	$488.55	$632.14
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $808.00 / $2,577.00	Facility		$294.00	$808.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $64.58 / $115.24	Professional		$48.36	$64.58	$115.24