Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.00 / $2,011.00 / $6,214.00	Facility		$465.00	$2,011.00	$6,214.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,504.75 / $4,320.62 / $4,586.39	Facility	50	$1,504.75	$4,320.62	$4,586.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.90 / $391.83 / $721.54	Professional		$205.90	$391.83	$721.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $269.36 / $992.50 / $2,799.00	Professional	50	$269.36	$992.50	$2,799.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.55 / $224.55 / $224.55	Professional		$224.55	$224.55	$224.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $262.64 / $573.50 / $1,049.86	Professional	50	$262.64	$573.50	$1,049.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,514.00 / $2,687.00 / $3,710.00	Facility		$1,514.00	$2,687.00	$3,710.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.24 / $426.24 / $720.32	Professional		$238.24	$426.24	$720.32
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 $234.74 / $441.06 / $719.01	Professional		$234.74	$441.06	$719.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.65 / $1,100.65 / $40,000.00	Facility		$1,100.65	$1,100.65	$40,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.13 / $3,135.84 / $3,630.45	Professional		$1,624.13	$3,135.84	$3,630.45
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 $370.81 / $546.91 / $902.54	Professional		$370.81	$546.91	$902.54