Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $3,162.28	Facility		$1,778.28	$1,778.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,715.35	Professional		$1,778.28	$2,187.76	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,388.44	Professional		$3,162.28	$3,162.28	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,235.94	Professional		$2,398.83	$2,398.83	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $26,915.35	Facility		$26,915.35	$26,915.35	$26,915.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $35,481.34 / $35,481.34	Professional		$27,542.29	$35,481.34	$35,481.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $3,235.94	Facility		$1,621.81	$2,754.23	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $3,162.28	Professional		$1,412.54	$2,089.30	$3,162.28