Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.88 / $1,791.00 / $6,681.00	Facility		$207.88	$1,791.00	$6,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $135.65 / $246.52	Professional		$95.75	$135.65	$246.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.09 / $168.09 / $168.09	Professional		$168.09	$168.09	$168.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $1,487.00 / $2,244.00	Facility		$756.00	$1,487.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.18 / $165.40 / $254.94	Professional		$113.18	$165.40	$254.94
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 $116.81 / $169.38 / $272.37	Professional		$116.81	$169.38	$272.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $523.83 / $523.83	Facility		$55.00	$523.83	$523.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $759.84 / $1,093.83 / $1,315.65	Professional		$759.84	$1,093.83	$1,315.65
United Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,465.00 / $2,886.00	Facility		$695.00	$1,465.00	$2,886.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $173.05 / $302.35	Professional		$125.92	$173.05	$302.35