Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.11 / $2,133.00 / $6,681.00	Facility		$273.11	$2,133.00	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $763.76 / $1,429.72 / $2,690.10	Facility	50	$763.76	$1,429.72	$2,690.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $172.47 / $288.26	Professional		$98.04	$172.47	$288.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.04 / $315.42 / $837.24	Professional	50	$98.04	$315.42	$837.24
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $255.62 / $256.26 / $346.54	Professional	50	$255.62	$256.26	$346.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,514.00 / $2,244.00	Facility		$764.00	$1,514.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $196.24 / $334.59	Professional		$114.57	$196.24	$334.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $205.74 / $337.29	Professional		$118.69	$205.74	$337.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.34 / $524.02 / $30,000.00	Facility		$478.34	$524.02	$30,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $3,500.00 / $3,500.00	Professional		$1,012.00	$3,500.00	$3,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,560.00 / $2,914.00	Facility		$719.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.13 / $251.58 / $455.92	Professional		$171.13	$251.58	$455.92