Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,819.70 / $4,073.80	Facility		$309.03	$1,819.70	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $288.40	Professional		$112.20	$158.49	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $416.87	Professional		$85.11	$120.23	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $2,238.72	Facility		$691.83	$1,513.56	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $281.84	Professional		$125.89	$165.96	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $251.19	Professional		$112.20	$162.18	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $2,951.21 / $2,951.21	Facility		$54.95	$2,951.21	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,230.27	Professional		$1,047.13	$1,230.27	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $812.83 / $2,511.89	Facility		$295.12	$812.83	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $251.19	Professional		$104.71	$154.88	$251.19