Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.59 / $1,791.00 / $6,681.00	Facility		$193.59	$1,791.00	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,628.00 / $1,628.00 / $1,628.00	Facility	50	$1,628.00	$1,628.00	$1,628.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $166.80 / $322.02	Professional		$87.95	$166.80	$322.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $393.09 / $537.29 / $1,279.50	Professional	50	$393.09	$537.29	$1,279.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $173.61 / $293.45	Professional		$86.33	$173.61	$293.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,024.00	Facility		$649.00	$1,364.00	$2,024.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $183.20 / $351.37	Professional		$81.23	$183.20	$351.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $210.09 / $346.97	Professional		$93.47	$210.09	$346.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $351.60 / $374.13 / $11,500.00	Facility		$351.60	$374.13	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $759.70 / $1,412.32 / $1,675.13	Professional		$759.70	$1,412.32	$1,675.13
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $794.00 / $2,577.00	Facility		$294.00	$794.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $252.89 / $443.46	Professional		$181.57	$252.89	$443.46