Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,235.94 / $10,000.00	Facility		$199.53	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Professional		$199.53	$199.53	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Professional		$199.53	$199.53	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $208.93	Professional		$204.17	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $218.78 / $251.19	Facility		$204.17	$218.78	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $269.15	Professional		$199.53	$208.93	$269.15