Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.25 / $1,791.00 / $6,681.00	Facility		$228.25	$1,791.00	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $355.47 / $355.47 / $1,284.04	Facility	50	$355.47	$355.47	$1,284.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $142.28 / $239.98	Professional		$108.61	$142.28	$239.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $163.11 / $444.22 / $860.71	Professional	50	$163.11	$444.22	$860.71
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $295.81 / $328.91 / $328.91	Professional	50	$295.81	$328.91	$328.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $1,483.00 / $2,244.00	Facility		$756.00	$1,483.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $169.86 / $267.74	Professional		$119.91	$169.86	$267.74
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 $125.44 / $173.80 / $274.77	Professional		$125.44	$173.80	$274.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $605.05 / $605.05	Facility		$55.00	$605.05	$605.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $1,528.92 / $1,721.89	Professional		$1,415.00	$1,528.92	$1,721.89
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 $119.94 / $165.43 / $290.89	Professional		$119.94	$165.43	$290.89