Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.00 / $1,534.41 / $6,681.00	Facility		$452.00	$1,534.41	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,757.40 / $3,757.40 / $3,757.40	Facility	50	$3,757.40	$3,757.40	$3,757.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $391.62 / $714.93	Professional		$210.13	$391.62	$714.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $307.70 / $919.98 / $1,781.15	Professional	50	$307.70	$919.98	$1,781.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $706.12 / $706.12 / $706.12	Professional		$706.12	$706.12	$706.12
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $568.83 / $568.83 / $568.83	Professional	50	$568.83	$568.83	$568.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,565.00 / $2,800.00 / $3,710.00	Facility		$1,565.00	$2,800.00	$3,710.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.54 / $424.61 / $728.25	Professional		$241.54	$424.61	$728.25
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 $237.53 / $438.79 / $731.56	Professional		$237.53	$438.79	$731.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.15 / $1,100.15 / $40,000.00	Facility		$1,100.15	$1,100.15	$40,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,611.81 / $3,108.48 / $3,600.53	Professional		$1,611.81	$3,108.48	$3,600.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,626.00 / $6,291.00	Facility		$1,794.00	$3,626.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.27 / $538.91 / $928.02	Professional		$366.27	$538.91	$928.02