Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $2,678.00 / $7,602.00	Facility		$853.00	$2,678.00	$7,602.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,085.00 / $4,547.70 / $6,211.52	Facility	50	$3,085.00	$4,547.70	$6,211.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.57 / $675.78 / $918.95	Professional		$472.57	$675.78	$918.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,243.05 / $2,243.05 / $2,243.05	Professional	50	$2,243.05	$2,243.05	$2,243.05
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $650.77 / $650.77 / $678.28	Professional	50	$650.77	$650.77	$678.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,565.00 / $2,859.00 / $3,710.00	Facility		$1,565.00	$2,859.00	$3,710.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.78 / $718.71 / $1,503.38	Professional		$468.78	$718.71	$1,503.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.47 / $698.76 / $1,129.94	Professional		$481.47	$698.76	$1,129.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,445.08 / $3,537.66 / $26,542.00	Facility		$3,445.08	$3,537.66	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,659.44 / $4,682.96 / $5,376.15	Professional		$3,659.44	$4,682.96	$5,376.15
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 $558.50 / $706.67 / $1,249.19	Professional		$558.50	$706.67	$1,249.19