Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.10 / $1,477.00 / $3,940.00	Facility		$279.10	$1,477.00	$3,940.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $867.00 / $1,156.00 / $1,638.00	Facility	50	$867.00	$1,156.00	$1,638.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.81 / $172.97 / $284.13	Professional		$138.81	$172.97	$284.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.63 / $161.46 / $990.00	Professional	50	$87.63	$161.46	$990.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,142.00 / $3,004.00	Facility		$1,375.00	$2,142.00	$3,004.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $200.06 / $322.31	Professional		$148.10	$200.06	$322.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $222.78 / $346.58	Professional		$152.51	$222.78	$346.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $5,194.52 / $16,394.00	Facility		$882.00	$5,194.52	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,496.46 / $2,496.46 / $2,496.46	Professional		$2,496.46	$2,496.46	$2,496.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,695.00 / $3,616.00 / $6,285.00	Facility		$1,695.00	$3,616.00	$6,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.12 / $223.69 / $358.75	Professional		$151.12	$223.69	$358.75