Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.00 / $2,303.00 / $6,681.00	Facility		$606.00	$2,303.00	$6,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.19 / $412.95 / $727.43	Professional		$280.19	$412.95	$727.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $454.58 / $454.58 / $454.58	Professional		$454.58	$454.58	$454.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.00 / $2,181.00 / $3,004.00	Facility		$1,417.00	$2,181.00	$3,004.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.93 / $526.02 / $850.02	Professional		$334.93	$526.02	$850.02
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 $349.43 / $527.79 / $838.75	Professional		$349.43	$527.79	$838.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $1,594.01 / $16,394.00	Facility		$1,472.00	$1,594.01	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.80 / $3,315.60 / $3,820.95	Professional		$2,308.80	$3,315.60	$3,820.95
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 $414.13 / $544.51 / $972.15	Professional		$414.13	$544.51	$972.15