Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $1,300.00 / $2,985.00	Facility		$723.00	$1,300.00	$2,985.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $373.66 / $1,623.16	Facility		$30.65	$373.66	$1,623.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $925.00 / $1,655.00	Facility		$700.00	$925.00	$1,655.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,034.00 / $7,738.00 / $8,000.00	Facility		$5,034.00	$7,738.00	$8,000.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $1,000.00 / $1,521.00	Facility		$761.00	$1,000.00	$1,521.00
United Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $865.00 / $1,895.00	Facility		$530.00	$865.00	$1,895.00