Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,511.89 / $7,943.28	Facility		$173.78	$2,511.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $194.98	Professional		$173.78	$173.78	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $199.53	Facility		$165.96	$173.78	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $194.98	Professional		$165.96	$173.78	$194.98