Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $6,456.54	Facility		$707.95	$2,454.71	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,584.89 / $3,019.95	Professional		$173.78	$1,584.89	$3,019.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,445.44 / $3,162.28	Professional		$131.83	$1,445.44	$3,162.28
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional	50	$2,187.76	$2,187.76	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,456.54 / $9,772.37	Facility		$2,187.76	$6,456.54	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $588.84 / $4,265.80	Professional		$208.93	$588.84	$4,265.80
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 $218.78 / $549.54 / $3,548.13	Professional		$218.78	$549.54	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $8,912.51 / $8,912.51	Facility		$54.95	$8,912.51	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $13,489.63 / $13,489.63	Professional		$11,220.18	$13,489.63	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,585.78 / $12,302.69	Facility		$4,365.16	$7,585.78	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $1,737.80 / $3,715.35	Professional		$186.21	$1,737.80	$3,715.35