Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $1,774.00 / $11,802.00	Facility		$135.00	$1,774.00	$11,802.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $188.22 / $3,645.14	Facility		$30.03	$188.22	$3,645.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $371.20 / $1,625.00	Facility		$30.71	$371.20	$1,625.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $3,145.00 / $5,020.01	Facility		$1,352.00	$3,145.00	$5,020.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Facility		$2,500.00	$2,500.00	$2,500.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $896.00 / $1,590.00	Facility		$378.00	$896.00	$1,590.00
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $650.00 / $650.00	Facility		$650.00	$650.00	$650.00