Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.90 / $411.59 / $54,967.00	Facility		$193.90	$411.59	$54,967.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.90 / $256.58 / $506.76	Professional		$193.90	$256.58	$506.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $143.00 / $388.00	Facility		$108.00	$143.00	$388.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.78 / $263.04 / $428.43	Professional		$199.78	$263.04	$428.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,877.75 / $25,867.00 / $33,043.00	Facility		$7,877.75	$25,867.00	$33,043.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.77 / $287.94 / $460.05	Professional		$203.77	$287.94	$460.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,000.63 / $1,020.63	Facility		$55.00	$1,000.63	$1,020.63
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $50.90 / $102.06 / $102.06	Facility	AS	$50.90	$102.06	$102.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.09 / $1,876.09 / $1,954.50	Professional		$1,876.09	$1,876.09	$1,954.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,128.00 / $2,297.00 / $4,326.00	Facility		$1,128.00	$2,297.00	$4,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.72 / $286.45 / $487.41	Professional		$200.72	$286.45	$487.41