Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $393.00 / $754.00	Facility		$221.00	$393.00	$754.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $247.80 / $247.80 / $999.00	Facility		$247.80	$247.80	$999.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $370.85 / $1,613.62	Facility		$30.48	$370.85	$1,613.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $233.00 / $422.00	Facility		$150.00	$233.00	$422.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,066.00 / $2,066.00 / $2,570.00	Facility		$2,066.00	$2,066.00	$2,570.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $270.00 / $474.00	Facility		$180.00	$270.00	$474.00
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $472.00 / $472.00	Facility		$472.00	$472.00	$472.00