Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $1,403.00 / $2,985.00	Facility		$689.00	$1,403.00	$2,985.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $850.00 / $3,999.00	Facility		$850.00	$850.00	$3,999.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $373.30 / $1,623.16	Facility		$30.24	$373.30	$1,623.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,040.00 / $1,497.00	Facility		$620.00	$1,040.00	$1,497.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,738.00 / $7,738.00 / $8,000.00	Facility		$7,738.00	$7,738.00	$8,000.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $1,150.47 / $1,524.00	Facility		$747.00	$1,150.47	$1,524.00
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $812.00 / $2,229.00	Facility		$500.00	$812.00	$2,229.00