Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,290.87 / $4,073.80	Facility		$467.74	$2,290.87	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $50.12 / $234.42	Professional		$23.99	$50.12	$234.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $173.78 / $257.04	Professional		$30.20	$173.78	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $151.36 / $1,621.81	Facility		$109.65	$151.36	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $95.50	Professional		$32.36	$47.86	$95.50
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 $30.20 / $87.10 / $257.04	Professional		$30.20	$87.10	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $19,498.45	Facility		$2,691.53	$2,691.53	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
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 $24.55 / $54.95 / $251.19	Professional		$24.55	$54.95	$251.19