Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.89 / $1,821.00 / $6,681.00	Facility		$111.89	$1,821.00	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,688.95 / $1,688.95 / $1,688.95	Facility	50	$1,688.95	$1,688.95	$1,688.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $77.91 / $150.00	Professional		$47.53	$77.91	$150.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.71 / $229.15 / $527.17	Professional	50	$109.71	$229.15	$527.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $135.54 / $148.26	Professional		$74.13	$135.54	$148.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,065.00	Facility		$649.00	$1,364.00	$2,065.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $91.32 / $150.76	Professional		$57.55	$91.32	$150.76
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 $61.95 / $94.46 / $154.22	Professional		$61.95	$94.46	$154.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $252.75 / $252.75	Facility		$55.00	$252.75	$252.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $649.67 / $754.73	Professional		$377.68	$649.67	$754.73
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,560.00 / $2,914.00	Facility		$719.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $96.01 / $179.39	Professional		$73.20	$96.01	$179.39