Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.33 / $1,593.70 / $4,069.00	Facility		$314.33	$1,593.70	$4,069.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.53 / $327.25 / $601.64	Professional		$211.53	$327.25	$601.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.38 / $308.87 / $364.49	Professional		$187.38	$308.87	$364.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $2,085.00 / $2,805.00	Facility		$954.00	$2,085.00	$2,805.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $371.03 / $622.12	Professional		$234.13	$371.03	$622.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.00 / $796.48 / $1,487.00	Facility		$373.00	$796.48	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.08 / $380.66 / $642.11	Professional		$244.08	$380.66	$642.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,578.66 / $1,578.66 / $12,000.00	Facility		$1,578.66	$1,578.66	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.52 / $2,547.04 / $3,017.03	Professional		$1,659.52	$2,547.04	$3,017.03
United Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,257.00 / $4,099.00	Facility		$875.00	$2,257.00	$4,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.55 / $415.68 / $729.46	Professional		$296.55	$415.68	$729.46