Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $2,133.00 / $7,602.00	Facility		$575.00	$2,133.00	$7,602.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,860.00 / $1,860.00 / $3,381.00	Facility	50	$1,860.00	$1,860.00	$3,381.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.83 / $572.15 / $896.02	Professional		$427.83	$572.15	$896.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $882.63 / $882.63 / $910.97	Professional		$882.63	$882.63	$910.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,676.00 / $3,611.00 / $5,878.00	Facility		$1,676.00	$3,611.00	$5,878.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.47 / $674.72 / $1,130.38	Professional		$499.47	$674.72	$1,130.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.14 / $725.46 / $1,092.34	Professional		$566.14	$725.46	$1,092.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,074.60 / $8,723.79 / $12,000.00	Facility		$2,074.60	$8,723.79	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,021.76 / $4,092.08 / $4,767.00	Professional		$4,021.76	$4,092.08	$4,767.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,259.00 / $4,567.00 / $7,669.00	Facility		$2,259.00	$4,567.00	$7,669.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.39 / $663.63 / $1,097.52	Professional		$461.39	$663.63	$1,097.52