Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,621.81 / $4,073.80	Facility		$229.09	$1,621.81	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $562.34	Professional		$102.33	$245.47	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $2,137.96	Facility		$691.83	$1,513.56	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $602.56	Professional		$120.23	$269.15	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $537.03	Professional		$109.65	$239.88	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,498.45	Facility		$1,995.26	$1,995.26	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $2,951.21	Professional		$2,454.71	$2,951.21	$2,951.21
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 $104.71 / $245.47 / $549.54	Professional		$104.71	$245.47	$549.54