Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.43 / $896.00 / $4,733.77	Facility		$95.43	$896.00	$4,733.77
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $953.52 / $1,239.00 / $2,900.35	Facility	50	$953.52	$1,239.00	$2,900.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $73.56 / $167.94	Professional		$40.57	$73.56	$167.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $187.50 / $492.00 / $564.49	Professional	50	$187.50	$492.00	$564.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $112.98	Professional		$79.34	$79.34	$112.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $169.47 / $169.47 / $169.47	Professional	50	$169.47	$169.47	$169.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,500.00 / $2,244.00	Facility		$764.00	$1,500.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $81.73 / $136.52	Professional		$46.04	$81.73	$136.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $87.86 / $148.07	Professional		$50.08	$87.86	$148.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $187.71 / $204.54 / $15,000.00	Facility		$187.71	$204.54	$15,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $1,340.00 / $1,340.00	Professional		$722.00	$1,340.00	$1,340.00
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,560.00 / $2,914.00	Facility		$719.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $106.71 / $186.75	Professional		$68.45	$106.71	$186.75