Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,905.46 / $5,888.44	Facility		$269.15	$1,905.46	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $2,238.72 / $7,762.47	Facility	50	$851.14	$2,238.72	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $676.08	Professional		$173.78	$309.03	$676.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $389.05 / $1,584.89	Professional	50	$47.86	$389.05	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $257.04	Professional		$95.50	$128.82	$257.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $190.55 / $549.54	Professional	50	$109.65	$190.55	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,073.80 / $5,888.44	Facility		$1,905.46	$4,073.80	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $489.78 / $812.83	Professional		$234.42	$489.78	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $616.60	Professional		$190.55	$363.08	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $28,840.32	Facility		$7,943.28	$7,943.28	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
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 $173.78 / $371.54 / $676.08	Professional		$173.78	$371.54	$676.08