Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,318.26 / $2,691.53	Facility		$467.74	$1,318.26	$2,691.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $1,995.26 / $3,235.94	Facility	50	$1,862.09	$1,995.26	$3,235.94
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 $89.13 / $169.82 / $446.68	Professional	50	$89.13	$169.82	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $173.78	Professional		$72.44	$97.72	$173.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $138.04 / $208.93	Professional	50	$81.28	$138.04	$208.93
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 $74.13 / $117.49 / $190.55	Professional		$74.13	$117.49	$190.55
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 / $102.33 / $169.82	Professional		$64.57	$102.33	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $371.54 / $371.54	Facility		$54.95	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $812.83 / $2,511.89	Facility		$295.12	$812.83	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $181.97	Professional		$57.54	$95.50	$181.97