Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.99 / $1,285.44 / $4,069.00	Facility		$53.99	$1,285.44	$4,069.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $469.67 / $524.40 / $592.15	Facility	50	$469.67	$524.40	$592.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $88.41 / $207.38	Professional		$55.79	$88.41	$207.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.50 / $349.47 / $609.00	Professional	50	$114.50	$349.47	$609.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $113.16 / $163.26	Professional		$88.25	$113.16	$163.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $132.38 / $178.71 / $244.89	Professional	50	$132.38	$178.71	$244.89
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 $65.70 / $103.39 / $170.00	Professional		$65.70	$103.39	$170.00
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 $70.36 / $107.26 / $175.28	Professional		$70.36	$107.26	$175.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $286.62 / $286.62	Facility		$55.00	$286.62	$286.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.40 / $715.12 / $835.05	Professional		$426.40	$715.12	$835.05
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 $82.21 / $112.66 / $197.19	Professional		$82.21	$112.66	$197.19