Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,290.87 / $4,073.80	Facility		$616.60	$2,290.87	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $616.60	Professional		$275.42	$371.54	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $3,019.95	Facility		$1,348.96	$2,290.87	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $724.44	Professional		$323.59	$467.74	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $707.95	Professional		$309.03	$436.52	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $28,840.32	Facility		$4,786.30	$4,786.30	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $3,311.31	Professional		$2,754.23	$3,311.31	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $4,073.80	Facility		$1,202.26	$2,290.87	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $660.69	Professional		$281.84	$380.19	$660.69