Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,258.93 / $3,801.89	Facility		$302.00	$1,258.93	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $199.53 / $457.09	Professional		$64.57	$199.53	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $251.19 / $707.95	Professional	50	$147.91	$251.19	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $316.23	Professional		$53.70	$97.72	$316.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $66.07 / $338.84	Professional	50	$66.07	$66.07	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $147.91 / $602.56	Facility		$100.00	$147.91	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $436.52	Professional		$87.10	$199.53	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $223.87	Facility		$85.11	$85.11	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $173.78 / $380.19	Professional		$74.13	$173.78	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $2,951.21 / $2,951.21	Facility		$54.95	$2,951.21	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,311.31	Professional		$1,862.09	$1,862.09	$3,311.31
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 $70.79 / $186.21 / $407.38	Professional		$70.79	$186.21	$407.38