Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,000.00 / $2,041.74	Facility		$104.71	$1,000.00	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $162.18	Professional		$104.71	$104.71	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $123.03	Professional		$109.65	$109.65	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $181.97	Facility		$109.65	$158.49	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $151.36	Professional		$100.00	$104.71	$151.36