Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.68 / $1,228.14 / $3,940.00	Facility		$119.68	$1,228.14	$3,940.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $531.29 / $1,099.99 / $2,645.10	Facility	50	$531.29	$1,099.99	$2,645.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $79.30 / $152.53	Professional		$47.19	$79.30	$152.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $71.09 / $154.56 / $398.16	Professional	50	$71.09	$154.56	$398.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $59.98 / $109.43	Professional		$59.98	$59.98	$109.43
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $89.96 / $121.59 / $221.83	Professional	50	$89.96	$121.59	$221.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $147.00 / $1,676.00	Facility		$110.00	$147.00	$1,676.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $91.83 / $155.15	Professional		$56.13	$91.83	$155.15
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 $58.28 / $95.69 / $159.57	Professional		$58.28	$95.69	$159.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $230.12 / $247.76 / $740.00	Facility		$230.12	$247.76	$740.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $483.00 / $1,800.00 / $1,800.00	Professional		$483.00	$1,800.00	$1,800.00
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 $79.50 / $114.31 / $202.04	Professional		$79.50	$114.31	$202.04