Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.28 / $1,975.54 / $6,446.00	Facility		$426.28	$1,975.54	$6,446.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,117.00 / $9,714.65 / $9,714.65	Facility	50	$2,117.00	$9,714.65	$9,714.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.38 / $506.00 / $817.29	Professional		$317.38	$506.00	$817.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,645.96 / $2,064.21 / $3,291.92	Professional	50	$1,645.96	$2,064.21	$3,291.92
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $137.44 / $225.44 / $354.56	Professional	52	$137.44	$225.44	$354.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $109.12 / $486.22	Professional		$109.12	$109.12	$486.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,917.00 / $3,611.00 / $5,959.00	Facility		$1,917.00	$3,611.00	$5,959.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.38 / $595.77 / $1,051.03	Professional		$331.38	$595.77	$1,051.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.75 / $657.76 / $1,084.67	Professional		$326.75	$657.76	$1,084.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,265.34 / $1,265.34	Facility		$55.00	$1,265.34	$1,265.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,434.00 / $3,589.98 / $3,589.98	Professional		$2,434.00	$3,589.98	$3,589.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,887.00 / $4,567.00 / $7,699.00	Facility		$2,887.00	$4,567.00	$7,699.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.18 / $676.69 / $1,114.32	Professional		$414.18	$676.69	$1,114.32