Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $1,366.00 / $3,141.00	Facility		$689.00	$1,366.00	$3,141.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $373.33 / $1,624.89	Facility		$30.48	$373.33	$1,624.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.16 / $1,308.00 / $2,337.00	Facility		$627.16	$1,308.00	$2,337.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,383.00 / $7,738.00 / $10,000.00	Facility		$3,383.00	$7,738.00	$10,000.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $859.55 / $859.55 / $859.55	Facility		$859.55	$859.55	$859.55
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,100.00 / $23,672.00	Facility		$550.00	$1,100.00	$23,672.00