Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,819.70 / $4,265.80	Facility		$478.63	$1,819.70	$4,265.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $3,019.95 / $9,332.54	Facility	50	$2,187.76	$3,019.95	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $645.65 / $2,691.53	Professional		$288.40	$645.65	$2,691.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $776.25 / $4,265.80	Professional	50	$338.84	$776.25	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $309.03 / $1,380.38	Professional		$120.23	$309.03	$1,380.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $1,023.29 / $1,659.59	Professional	50	$169.82	$1,023.29	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $151.36 / $3,801.89	Facility		$109.65	$151.36	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $954.99 / $3,090.30	Professional		$380.19	$954.99	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,659.59	Facility		$398.11	$398.11	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $691.83 / $2,818.38	Professional		$323.59	$691.83	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $8,709.64 / $8,709.64	Facility		$54.95	$8,709.64	$8,709.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
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 $316.23 / $831.76 / $2,818.38	Professional		$316.23	$831.76	$2,818.38