Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.29 / $825.16 / $825.16	Facility		$809.29	$825.16	$825.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.29 / $904.50 / $1,601.06	Professional		$809.29	$904.50	$1,601.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.80 / $1,714.18 / $1,714.18	Professional		$1,134.80	$1,714.18	$1,714.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $1,551.30	Professional		$1,132.45	$1,132.45	$1,551.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,571.26 / $9,894.54 / $9,894.54	Facility		$2,571.26	$9,894.54	$9,894.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,189.70 / $12,189.70 / $19,046.40	Professional		$12,189.70	$12,189.70	$19,046.40
United Facility/Professional Professional Modifier Low / Median / High Price $633.47 / $950.20 / $1,431.67	Professional		$633.47	$950.20	$1,431.67