Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,137.96 / $4,073.80	Facility		$467.74	$2,137.96	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $281.84	Professional		$104.71	$147.91	$281.84
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $114.82 / $165.96 / $512.86	Professional	54	$114.82	$165.96	$512.86
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	54	$79.43	$79.43	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $2,137.96	Facility		$724.44	$1,513.56	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $275.42	Professional		$128.82	$177.83	$275.42
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 $117.49 / $165.96 / $263.03	Professional		$117.49	$165.96	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $2,187.76 / $2,187.76	Facility		$54.95	$2,187.76	$2,187.76
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	54	$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,071.52	Professional		$912.01	$1,071.52	$1,071.52
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 $100.00 / $134.90 / $234.42	Professional		$100.00	$134.90	$234.42