Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.50 / $1,964.45 / $4,053.12	Facility		$224.50	$1,964.45	$4,053.12
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,063.00 / $3,063.00 / $3,063.00	Facility	50	$3,063.00	$3,063.00	$3,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $284.08 / $640.25	Professional		$155.38	$284.08	$640.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $414.09 / $960.38 / $1,458.00	Professional	50	$414.09	$960.38	$1,458.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.00 / $2,181.00 / $3,047.00	Facility		$1,417.00	$2,181.00	$3,047.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $274.26 / $485.07	Professional		$164.14	$274.26	$485.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.52 / $282.48 / $505.49	Professional		$169.52	$282.48	$505.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.98 / $1,120.02 / $16,394.00	Facility		$1,096.98	$1,120.02	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,338.00 / $3,411.19 / $3,411.19	Professional		$3,338.00	$3,411.19	$3,411.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $2,298.00 / $4,326.00	Facility		$1,130.00	$2,298.00	$4,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.79 / $390.32 / $591.04	Professional		$240.79	$390.32	$591.04