Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.34 / $2,258.00 / $6,681.00	Facility		$489.34	$2,258.00	$6,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $340.73 / $590.44	Professional		$220.19	$340.73	$590.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $221.70 / $352.05	Professional		$110.85	$221.70	$352.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,291.00 / $3,777.00	Facility		$1,375.00	$2,291.00	$3,777.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $420.48 / $686.21	Professional		$261.42	$420.48	$686.21
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 $277.38 / $422.88 / $692.81	Professional		$277.38	$422.88	$692.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,149.28 / $1,245.02 / $11,500.00	Facility		$1,149.28	$1,245.02	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,792.96 / $2,713.84 / $3,123.45	Professional		$1,792.96	$2,713.84	$3,123.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,695.00 / $3,616.00 / $6,291.00	Facility		$1,695.00	$3,616.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.50 / $426.78 / $790.99	Professional		$340.50	$426.78	$790.99