Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.41 / $2,303.00 / $7,602.00	Facility		$537.41	$2,303.00	$7,602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.18 / $288.89 / $460.24	Professional		$250.18	$288.89	$460.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.41 / $237.41 / $320.82	Professional		$237.41	$237.41	$320.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.23 / $277.24 / $420.65	Professional		$200.23	$277.24	$420.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.79 / $175.99 / $241.67	Facility		$160.79	$175.99	$241.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.58 / $324.74 / $486.22	Professional		$218.58	$324.74	$486.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $529.73 / $1,457.44 / $1,457.44	Facility		$529.73	$1,457.44	$1,457.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,841.31 / $1,841.31 / $2,268.44	Professional		$1,841.31	$1,841.31	$2,268.44
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $794.00 / $2,577.00	Facility		$294.00	$794.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.43 / $272.73 / $523.07	Professional		$223.43	$272.73	$523.07