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 $4,858.50 / $4,858.50 / $4,858.50	Facility	50	$4,858.50	$4,858.50	$4,858.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.35 / $601.80 / $855.28	Professional		$444.35	$601.80	$855.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,910.32 / $1,910.32 / $2,112.64	Professional	50	$1,910.32	$1,910.32	$2,112.64
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $645.21 / $645.21 / $645.21	Professional	50	$645.21	$645.21	$645.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $2,867.00 / $4,235.00	Facility		$1,652.00	$2,867.00	$4,235.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.82 / $674.10 / $1,396.23	Professional		$442.82	$674.10	$1,396.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.02 / $665.04 / $1,087.82	Professional		$463.02	$665.04	$1,087.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,274.32 / $3,362.52 / $26,542.00	Facility		$3,274.32	$3,362.52	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,569.00 / $7,569.00 / $7,569.00	Professional		$7,569.00	$7,569.00	$7,569.00
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 $552.16 / $656.47 / $1,162.85	Professional		$552.16	$656.47	$1,162.85