Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,288.25 / $3,890.45	Facility		$524.81	$1,288.25	$3,890.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $2,089.30 / $3,388.44	Facility	50	$758.58	$2,089.30	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $426.58	Professional		$102.33	$186.21	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $338.84 / $933.25	Professional	50	$181.97	$338.84	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $346.74	Professional		$125.89	$194.98	$346.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $281.84 / $416.87	Professional	50	$144.54	$281.84	$416.87
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 $128.82 / $218.78 / $371.54	Professional		$128.82	$218.78	$371.54
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 $114.82 / $199.53 / $331.13	Professional		$114.82	$199.53	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $30,199.52	Facility		$2,691.53	$2,691.53	$30,199.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
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 $100.00 / $181.97 / $363.08	Professional		$100.00	$181.97	$363.08