Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,137.96 / $4,073.80	Facility		$562.34	$2,137.96	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $549.54	Professional		$234.42	$309.03	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,073.80 / $5,888.44	Facility		$1,621.81	$4,073.80	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $645.65	Professional		$288.40	$416.87	$645.65
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 $263.03 / $380.19 / $588.84	Professional		$263.03	$380.19	$588.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $19,498.45	Facility		$8,912.51	$8,912.51	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $2,754.23	Professional		$2,344.23	$2,754.23	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $6,309.57	Facility		$2,041.74	$3,630.78	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $537.03	Professional		$223.87	$309.03	$537.03