Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $896.00 / $4,003.66	Facility		$159.60	$896.00	$4,003.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $172.90 / $366.40	Professional		$62.23	$172.90	$366.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $154.33 / $314.52	Professional		$58.32	$154.33	$314.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.96 / $109.96 / $109.96	Professional	50	$109.96	$109.96	$109.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $143.00 / $623.00	Facility		$101.00	$143.00	$623.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $178.75 / $385.17	Professional		$84.27	$178.75	$385.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.68 / $115.83 / $226.18	Facility		$84.68	$115.83	$226.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $163.69 / $377.73	Professional		$73.50	$163.69	$377.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $664.40 / $954.09	Facility		$55.00	$664.40	$954.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $954.09 / $1,882.43 / $3,336.50	Professional		$954.09	$1,882.43	$3,336.50
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $814.00 / $2,495.00	Facility		$296.00	$814.00	$2,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $275.29 / $582.45	Professional		$193.19	$275.29	$582.45