Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.08 / $2,303.00 / $7,602.00	Facility		$441.08	$2,303.00	$7,602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.36 / $296.25 / $920.72	Professional		$223.36	$296.25	$920.72
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $45.38 / $87.00 / $174.76	Professional	AS	$45.38	$87.00	$174.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $301.54 / $438.89	Professional		$212.20	$301.54	$438.89
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $53.16 / $53.16 / $53.16	Professional	AS	$53.16	$53.16	$53.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $147.00 / $1,676.00	Facility		$108.00	$147.00	$1,676.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.59 / $343.89 / $555.59	Professional		$248.59	$343.89	$555.59
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 $263.64 / $364.43 / $545.16	Professional		$263.64	$364.43	$545.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $1,171.68 / $5,000.00	Facility		$555.76	$1,171.68	$5,000.00
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $384.88 / $760.56 / $760.56	Facility	62	$384.88	$760.56	$760.56
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $61.58 / $121.69 / $121.69	Facility	AS	$61.58	$121.69	$121.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,780.96 / $1,822.88 / $2,244.60	Professional		$1,780.96	$1,822.88	$2,244.60
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $814.00 / $2,791.00	Facility		$294.00	$814.00	$2,791.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.82 / $321.67 / $543.26	Professional		$230.82	$321.67	$543.26