Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.00 / $2,311.00 / $7,602.00	Facility		$781.00	$2,311.00	$7,602.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,601.50 / $3,601.50 / $3,601.50	Facility	50	$3,601.50	$3,601.50	$3,601.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.13 / $620.91 / $1,283.29	Professional		$505.13	$620.91	$1,283.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $683.59 / $741.21 / $999.50	Professional		$683.59	$741.21	$999.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,576.00 / $2,800.00 / $3,710.00	Facility		$1,576.00	$2,800.00	$3,710.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.96 / $764.22 / $1,194.78	Professional		$567.96	$764.22	$1,194.78
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 $572.89 / $762.15 / $1,230.20	Professional		$572.89	$762.15	$1,230.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,281.32 / $5,246.20 / $16,394.00	Facility		$2,281.32	$5,246.20	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.88 / $497.27 / $497.27	Facility	AS	$156.88	$497.27	$497.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,838.31 / $5,838.31 / $5,838.31	Professional		$5,838.31	$5,838.31	$5,838.31
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 $525.79 / $675.20 / $1,209.47	Professional		$525.79	$675.20	$1,209.47