Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $914.00 / $1,367.00	Facility		$665.00	$914.00	$1,367.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $959.36 / $959.36 / $959.36	Facility		$959.36	$959.36	$959.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $372.11 / $1,617.28	Facility		$30.48	$372.11	$1,617.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $797.00 / $1,070.00	Facility		$650.00	$797.00	$1,070.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $880.00 / $1,500.00	Facility		$880.00	$880.00	$1,500.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $680.21 / $884.00	Facility		$537.00	$680.21	$884.00