Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.33 / $2,179.00 / $7,206.59	Facility		$773.33	$2,179.00	$7,206.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,621.30 / $3,439.50 / $9,526.18	Facility	50	$1,621.30	$3,439.50	$9,526.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $452.66 / $888.02	Professional		$368.06	$452.66	$888.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $768.74 / $1,409.60 / $1,665.25	Professional	50	$768.74	$1,409.60	$1,665.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $535.16 / $733.38	Professional		$297.32	$535.16	$733.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $401.38 / $548.05 / $1,078.22	Professional	50	$401.38	$548.05	$1,078.22
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 $411.51 / $554.29 / $865.97	Professional		$411.51	$554.29	$865.97
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 $429.81 / $572.01 / $947.85	Professional		$429.81	$572.01	$947.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,079.40 / $2,282.04 / $16,394.00	Facility		$2,079.40	$2,282.04	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,829.00 / $4,131.06 / $4,131.06	Professional		$3,829.00	$4,131.06	$4,131.06
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 $384.68 / $501.59 / $907.85	Professional		$384.68	$501.59	$907.85