Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.13 / $1,285.44 / $4,069.00	Facility		$339.13	$1,285.44	$4,069.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,709.00 / $1,709.00 / $2,367.00	Facility	50	$1,709.00	$1,709.00	$2,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.77 / $383.55 / $1,427.72	Professional		$168.77	$383.55	$1,427.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $127.85 / $127.85 / $960.07	Professional	50	$127.85	$127.85	$960.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $383.23 / $383.23 / $383.23	Professional		$383.23	$383.23	$383.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $459.70 / $459.70 / $459.70	Professional	50	$459.70	$459.70	$459.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $148.00 / $2,367.00	Facility		$108.00	$148.00	$2,367.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $550.13 / $1,555.25	Professional		$180.84	$550.13	$1,555.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.69 / $536.60 / $1,527.46	Professional		$215.69	$536.60	$1,527.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,475.05 / $1,475.05	Facility		$55.00	$1,475.05	$1,475.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,995.17 / $5,698.08 / $6,737.40	Professional		$2,995.17	$5,698.08	$6,737.40
United Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $784.00 / $2,577.00	Facility		$280.00	$784.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.74 / $1,268.75 / $1,992.68	Professional		$816.74	$1,268.75	$1,992.68