Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.06 / $286.38 / $1,439.42	Facility		$115.06	$286.38	$1,439.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $121.70 / $202.92	Professional		$90.22	$121.70	$202.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.32 / $115.50 / $154.91	Professional		$84.32	$115.50	$154.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,065.00	Facility		$649.00	$1,364.00	$2,065.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $160.50 / $243.79	Professional		$110.74	$160.50	$243.79
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 $117.95 / $163.55 / $256.70	Professional		$117.95	$163.55	$256.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $485.69 / $485.69	Facility		$55.00	$485.69	$485.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $943.68 / $1,078.13	Professional		$836.00	$943.68	$1,078.13
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $808.00 / $2,577.00	Facility		$294.00	$808.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.83 / $161.36 / $280.69	Professional		$120.83	$161.36	$280.69