Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,137.96 / $4,073.80	Facility		$467.74	$2,137.96	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $288.40 / $831.76	Professional		$114.82	$288.40	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $165.96	Professional		$114.82	$114.82	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,089.30 / $2,951.21	Facility		$954.99	$2,089.30	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $302.00 / $1,071.52	Professional		$138.04	$302.00	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $691.83 / $1,445.44	Facility		$199.53	$691.83	$1,445.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	52	$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $912.01	Professional		$131.83	$257.04	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $19,498.45	Facility		$3,630.78	$3,630.78	$19,498.45
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	52	$2,884.03	$2,884.03	$2,884.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $3,981.07	Professional		$3,388.44	$3,981.07	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,187.76 / $3,981.07	Facility		$912.01	$2,187.76	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $794.33	Professional		$112.20	$229.09	$794.33