Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.53 / $1,448.31 / $6,681.00	Facility		$177.53	$1,448.31	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,126.70 / $1,126.70 / $1,126.70	Facility	50	$1,126.70	$1,126.70	$1,126.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $180.53 / $358.31	Professional		$62.37	$180.53	$358.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.56 / $550.10 / $775.94	Professional	50	$93.56	$550.10	$775.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $313.54 / $313.54 / $313.54	Professional		$313.54	$313.54	$313.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $325.55 / $325.55 / $325.55	Professional	50	$325.55	$325.55	$325.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $150.00 / $1,676.00	Facility		$110.00	$150.00	$1,676.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $166.32 / $327.66	Professional		$73.97	$166.32	$327.66
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 $77.06 / $178.57 / $374.20	Professional		$77.06	$178.57	$374.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $457.41 / $457.41	Facility		$55.00	$457.41	$457.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $928.79 / $2,060.00 / $2,093.33	Professional		$928.79	$2,060.00	$2,093.33
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 $167.67 / $235.16 / $421.99	Professional		$167.67	$235.16	$421.99