Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $2,940.00 / $7,602.00	Facility		$1,150.00	$2,940.00	$7,602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.61 / $791.80 / $1,247.85	Professional		$671.61	$791.80	$1,247.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,066.55 / $1,066.55 / $1,066.55	Professional		$1,066.55	$1,066.55	$1,066.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,984.00 / $5,500.00 / $9,419.00	Facility		$2,984.00	$5,500.00	$9,419.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.60 / $1,083.89 / $1,680.16	Professional		$773.60	$1,083.89	$1,680.16
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 $775.37 / $1,057.33 / $1,543.06	Professional		$775.37	$1,057.33	$1,543.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,206.78 / $16,547.20 / $26,542.00	Facility		$4,206.78	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,506.44 / $5,642.56 / $6,428.18	Professional		$5,506.44	$5,642.56	$6,428.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,626.00 / $6,291.00	Facility		$1,794.00	$3,626.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.30 / $919.61 / $1,629.72	Professional		$660.30	$919.61	$1,629.72