Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.31 / $1,412.55 / $12,536.80	Facility		$1,042.31	$1,412.55	$12,536.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.31 / $1,438.66 / $10,864.90	Professional		$1,042.31	$1,438.66	$10,864.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $559.54 / $1,510.84	Professional		$256.45	$559.54	$1,510.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,512.00 / $7,178.00 / $13,498.00	Facility		$3,512.00	$7,178.00	$13,498.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.55 / $3,762.69 / $9,265.04	Professional		$578.55	$3,762.69	$9,265.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,143.30 / $7,143.30	Facility		$55.00	$7,143.30	$7,143.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $238.88 / $245.87 / $245.87	Facility	AS	$238.88	$245.87	$245.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,682.37 / $28,088.65 / $32,833.65	Professional		$15,682.37	$28,088.65	$32,833.65
United Facility/Professional Professional Modifier Low / Median / High Price $4,876.34 / $7,533.76 / $11,256.09	Professional		$4,876.34	$7,533.76	$11,256.09