Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.49 / $1,964.45 / $5,954.26	Facility		$238.49	$1,964.45	$5,954.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $111.70 / $176.95	Professional		$101.88	$111.70	$176.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.24 / $139.24 / $139.24	Professional		$139.24	$139.24	$139.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.00 / $2,175.00 / $3,004.00	Facility		$1,417.00	$2,175.00	$3,004.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $142.52 / $256.81	Professional		$104.64	$142.52	$256.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $169.63 / $259.29	Professional		$116.29	$169.63	$259.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,493.00 / $4,493.00	Facility		$55.00	$4,493.00	$4,493.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $703.68 / $720.56 / $813.45	Professional		$703.68	$720.56	$813.45
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 $110.69 / $169.42 / $256.04	Professional		$110.69	$169.42	$256.04