Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $1,616.00 / $6,681.00	Facility		$103.32	$1,616.00	$6,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $104.80 / $250.25	Professional		$35.50	$104.80	$250.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $20.84 / $40.28	Professional		$20.84	$20.84	$40.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $147.00 / $623.00	Facility		$101.00	$147.00	$623.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $114.40 / $289.99	Professional		$44.53	$114.40	$289.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.22 / $62.62 / $171.62	Facility		$55.22	$62.62	$171.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $90.66 / $297.00	Professional		$41.57	$90.66	$297.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $317.77 / $317.77	Facility		$55.00	$317.77	$317.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.25 / $1,248.08 / $1,460.63	Professional		$645.25	$1,248.08	$1,460.63
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $814.00 / $2,495.00	Facility		$296.00	$814.00	$2,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $204.99 / $356.49	Professional		$136.79	$204.99	$356.49