Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.67 / $1,483.64 / $3,940.00	Facility		$348.67	$1,483.64	$3,940.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,604.00 / $1,997.27 / $4,093.65	Facility	50	$1,604.00	$1,997.27	$4,093.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $147.74 / $347.28	Professional		$70.66	$147.74	$347.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $166.48 / $431.25 / $758.00	Professional	50	$166.48	$431.25	$758.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $134.54 / $269.83	Professional		$76.98	$134.54	$269.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $201.81 / $295.37 / $407.59	Professional	50	$201.81	$295.37	$407.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,264.00 / $4,124.00	Facility		$1,275.00	$2,264.00	$4,124.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $165.06 / $290.10	Professional		$89.05	$165.06	$290.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $173.87 / $306.08	Professional		$93.31	$173.87	$306.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $459.08 / $459.08 / $15,000.00	Facility		$459.08	$459.08	$15,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.00 / $2,255.51 / $2,306.53	Professional		$671.00	$2,255.51	$2,306.53
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $808.00 / $2,577.00	Facility		$294.00	$808.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $192.64 / $378.83	Professional		$142.91	$192.64	$378.83