Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.62 / $1,517.00 / $4,069.00	Facility		$258.62	$1,517.00	$4,069.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $274.69 / $460.48	Professional		$148.90	$274.69	$460.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.07 / $224.07 / $224.07	Professional		$224.07	$224.07	$224.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,085.00 / $2,895.00	Facility		$888.00	$2,085.00	$2,895.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.10 / $289.82 / $505.30	Professional		$164.10	$289.82	$505.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $796.48 / $1,992.00	Facility		$455.00	$796.48	$1,992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.92 / $301.83 / $533.64	Professional		$174.92	$301.83	$533.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.58 / $1,154.58 / $16,394.00	Facility		$1,154.58	$1,154.58	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.78 / $2,266.40 / $2,718.23	Professional		$1,220.78	$2,266.40	$2,718.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,049.00 / $2,216.00 / $4,099.00	Facility		$1,049.00	$2,216.00	$4,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $341.75 / $602.51	Professional		$250.85	$341.75	$602.51