Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.39 / $1,310.98 / $4,069.00	Facility		$194.39	$1,310.98	$4,069.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $376.18 / $2,645.10 / $3,220.00	Facility	50	$376.18	$2,645.10	$3,220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $87.53 / $158.00	Professional		$55.09	$87.53	$158.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.64 / $130.91 / $452.01	Professional	50	$82.64	$130.91	$452.01
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $131.82 / $146.36 / $176.86	Professional	50	$131.82	$146.36	$176.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $148.00 / $1,676.00	Facility		$108.00	$148.00	$1,676.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $103.33 / $169.07	Professional		$64.86	$103.33	$169.07
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 $67.67 / $104.62 / $176.42	Professional		$67.67	$104.62	$176.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $289.37 / $289.37	Facility		$55.00	$289.37	$289.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $2,750.00 / $2,750.00	Professional		$575.00	$2,750.00	$2,750.00
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $808.00 / $2,577.00	Facility		$294.00	$808.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $118.94 / $221.58	Professional		$85.40	$118.94	$221.58