Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.08 / $1,285.44 / $6,214.00	Facility		$358.08	$1,285.44	$6,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $342.18 / $620.27	Professional		$164.62	$342.18	$620.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $235.33 / $502.11	Professional		$113.10	$235.33	$502.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,270.00 / $2,136.00 / $2,849.00	Facility		$1,270.00	$2,136.00	$2,849.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.90 / $385.93 / $772.70	Professional		$191.90	$385.93	$772.70
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 $206.97 / $411.82 / $756.18	Professional		$206.97	$411.82	$756.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $957.17 / $12,000.00	Facility		$876.64	$957.17	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.40 / $3,347.52 / $3,966.53	Professional		$1,769.40	$3,347.52	$3,966.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $2,297.00 / $4,099.00	Facility		$1,130.00	$2,297.00	$4,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.44 / $450.04 / $837.65	Professional		$259.44	$450.04	$837.65