Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.65 / $1,616.00 / $7,200.00	Facility		$462.65	$1,616.00	$7,200.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,563.50 / $2,563.50 / $3,381.00	Facility	50	$2,563.50	$2,563.50	$3,381.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.31 / $493.46 / $740.20	Professional		$324.31	$493.46	$740.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,965.40 / $1,965.40 / $1,965.40	Professional	50	$1,965.40	$1,965.40	$1,965.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $215.49 / $340.35	Professional		$145.44	$215.49	$340.35
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $288.45 / $288.45 / $510.52	Professional	50	$288.45	$288.45	$510.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,504.00 / $2,330.00	Facility		$764.00	$1,504.00	$2,330.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $292.74 / $607.03	Professional		$183.81	$292.74	$607.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.54 / $524.37 / $865.60	Professional		$222.54	$524.37	$865.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,716.40 / $1,774.57	Facility		$55.00	$1,716.40	$1,774.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,946.00 / $2,946.00 / $2,946.00	Professional		$2,946.00	$2,946.00	$2,946.00
United Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,560.00 / $2,914.00	Facility		$695.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.57 / $566.52 / $956.22	Professional		$476.57	$566.52	$956.22