Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.30 / $1,939.00 / $6,681.00	Facility		$277.30	$1,939.00	$6,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $152.84 / $427.12	Professional		$106.84	$152.84	$427.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $193.97 / $193.97	Professional		$193.97	$193.97	$193.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,500.00 / $2,257.00	Facility		$764.00	$1,500.00	$2,257.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $164.20 / $268.08	Professional		$113.70	$164.20	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $186.21 / $313.67	Professional		$118.80	$186.21	$313.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $527.11 / $527.11	Facility		$55.00	$527.11	$527.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $781.92 / $1,161.28 / $1,366.43	Professional		$781.92	$1,161.28	$1,366.43
United Facility/Professional Facility Modifier Low / Median / High Price $267.00 / $788.00 / $2,495.00	Facility		$267.00	$788.00	$2,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $212.85 / $327.51	Professional		$144.22	$212.85	$327.51