Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,367.00 / $6,681.00	Facility		$97.00	$1,367.00	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,956.64 / $2,956.64 / $2,956.64	Facility	50	$2,956.64	$2,956.64	$2,956.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $75.02 / $151.52	Professional		$50.62	$75.02	$151.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $122.29 / $263.60 / $468.00	Professional	50	$122.29	$263.60	$468.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $116.69 / $136.53	Professional		$60.47	$116.69	$136.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.31 / $142.88 / $175.04	Professional	50	$112.31	$142.88	$175.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,063.00	Facility		$649.00	$1,364.00	$2,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $90.16 / $139.04	Professional		$60.60	$90.16	$139.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $94.89 / $147.72	Professional		$63.98	$94.89	$147.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $279.35 / $279.35	Facility		$55.00	$279.35	$279.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $408.88 / $613.73 / $703.20	Professional		$408.88	$613.73	$703.20
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $786.00 / $2,495.00	Facility		$294.00	$786.00	$2,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $86.10 / $166.41	Professional		$69.63	$86.10	$166.41