Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.89 / $1,829.00 / $6,681.00	Facility		$551.89	$1,829.00	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,276.00 / $5,513.07 / $5,513.07	Facility	50	$3,276.00	$5,513.07	$5,513.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.83 / $616.09 / $827.86	Professional		$430.83	$616.09	$827.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,011.11 / $2,011.11 / $2,011.11	Professional	50	$2,011.11	$2,011.11	$2,011.11
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 $412.82 / $642.15 / $1,344.25	Professional		$412.82	$642.15	$1,344.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.83 / $638.08 / $1,014.55	Professional		$440.83	$638.08	$1,014.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,150.72 / $3,237.72 / $16,394.00	Facility		$3,150.72	$3,237.72	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,805.00 / $4,805.00 / $4,822.88	Professional		$4,805.00	$4,805.00	$4,822.88
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 $504.01 / $629.04 / $1,121.34	Professional		$504.01	$629.04	$1,121.34