Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $3,043.00 / $7,602.00	Facility		$893.00	$3,043.00	$7,602.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,810.00 / $3,810.00 / $3,810.00	Facility	50	$3,810.00	$3,810.00	$3,810.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.87 / $2,410.56 / $5,132.97	Professional		$438.87	$2,410.56	$5,132.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $418.96 / $674.14 / $2,477.82	Professional		$418.96	$674.14	$2,477.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,214.00 / $6,991.00 / $13,623.00	Facility		$2,214.00	$6,991.00	$13,623.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.34 / $1,385.15 / $6,841.85	Professional		$472.34	$1,385.15	$6,841.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.19 / $1,931.63 / $5,868.03	Professional		$541.19	$1,931.63	$5,868.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,367.00 / $4,368.42	Facility		$55.00	$3,367.00	$4,368.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,721.42 / $18,488.33 / $21,924.98	Professional		$9,721.42	$18,488.33	$21,924.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,052.00 / $10,886.00 / $20,079.00	Facility		$5,052.00	$10,886.00	$20,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,810.52 / $4,413.64 / $7,252.16	Professional		$2,810.52	$4,413.64	$7,252.16