Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,905.46 / $4,265.80	Facility		$549.54	$1,905.46	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $245.47	Professional		$57.54	$97.72	$245.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $389.05 / $416.87	Professional	50	$371.54	$389.05	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $190.55	Professional		$102.33	$128.82	$190.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	50	$223.87	$223.87	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $2,137.96	Facility		$724.44	$1,513.56	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $204.17	Professional		$74.13	$120.23	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $213.80	Professional		$64.57	$114.82	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $19,498.45	Facility		$2,089.30	$2,089.30	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,445.44 / $2,884.03	Facility		$741.31	$1,445.44	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $204.17	Professional		$57.54	$102.33	$204.17