Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,137.96 / $4,073.80	Facility		$489.78	$2,137.96	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $512.86	Professional		$208.93	$263.03	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $398.11	Professional		$309.03	$309.03	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $2,137.96	Facility		$724.44	$1,513.56	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $549.54	Professional		$251.19	$354.81	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $501.19	Professional		$229.09	$316.23	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,498.45	Facility		$1,995.26	$1,995.26	$19,498.45
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	54	$1,202.26	$1,202.26	$1,202.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,187.76	Professional		$1,819.70	$2,187.76	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $812.83 / $2,511.89	Facility		$295.12	$812.83	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $457.09	Professional		$199.53	$263.03	$457.09