Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $2,678.00 / $7,602.00	Facility		$586.00	$2,678.00	$7,602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $323.10 / $598.54	Professional		$172.78	$323.10	$598.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $199.74 / $683.51	Professional		$80.87	$199.74	$683.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,917.00 / $3,485.00 / $5,878.00	Facility		$1,917.00	$3,485.00	$5,878.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.24 / $513.83 / $878.59	Professional		$245.24	$513.83	$878.59
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 $224.58 / $510.08 / $943.51	Professional		$224.58	$510.08	$943.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,028.36 / $1,039.42 / $16,394.00	Facility		$1,028.36	$1,039.42	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.60 / $2,728.60 / $3,336.50	Professional		$1,906.60	$2,728.60	$3,336.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,626.00 / $6,291.00	Facility		$1,794.00	$3,626.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.66 / $611.79 / $1,032.55	Professional		$474.66	$611.79	$1,032.55