Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,344.23 / $7,585.78	Facility		$707.95	$2,344.23	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $3,548.13 / $6,025.60	Facility	50	$912.01	$3,548.13	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $457.09	Professional		$138.04	$190.55	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $512.86 / $1,288.25	Professional	50	$251.19	$512.86	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $229.09	Professional		$75.86	$181.97	$229.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $229.09 / $338.84	Professional	50	$218.78	$229.09	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $3,467.37	Facility		$1,348.96	$2,290.87	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $371.54	Professional		$165.96	$229.09	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $346.74	Professional		$151.36	$213.80	$346.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $45,708.82	Facility		$3,715.35	$3,715.35	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $4,073.80	Facility		$1,202.26	$2,290.87	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $331.13	Professional		$147.91	$208.93	$331.13