Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.27 / $2,678.00 / $7,602.00	Facility		$108.27	$2,678.00	$7,602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $127.57 / $164.21	Professional		$93.54	$127.57	$164.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $163.66 / $163.66	Professional		$163.66	$163.66	$163.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,380.00 / $2,065.00	Facility		$649.00	$1,380.00	$2,065.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $136.53 / $285.60	Professional		$90.18	$136.53	$285.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $137.93 / $325.00	Professional		$97.09	$137.93	$325.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $691.86 / $707.82	Facility		$55.00	$691.86	$707.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $818.01 / $1,073.61 / $2,278.08	Professional		$818.01	$1,073.61	$2,278.08
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 $100.61 / $130.21 / $256.01	Professional		$100.61	$130.21	$256.01