Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,513.56 / $3,981.07	Facility		$549.54	$1,513.56	$3,981.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	50	$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $954.99	Professional		$190.55	$407.38	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $630.96 / $1,995.26	Professional	50	$346.74	$630.96	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $501.19	Professional		$323.59	$416.87	$501.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $630.96 / $1,000.00	Professional	50	$269.15	$630.96	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $3,981.07	Facility		$1,548.82	$2,951.21	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $831.76	Professional		$275.42	$478.63	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $724.44	Professional		$229.09	$436.52	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $39,810.72	Facility		$5,248.07	$5,248.07	$39,810.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,630.78	Professional		$3,090.30	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $6,309.57	Facility		$2,041.74	$3,630.78	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $758.58	Professional		$213.80	$398.11	$758.58