Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $667.00 / $1,196.00	Facility		$300.00	$667.00	$1,196.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $372.55 / $1,617.28	Facility		$30.56	$372.55	$1,617.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $1,600.00 / $4,000.00	Facility		$286.00	$1,600.00	$4,000.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $387.00 / $770.00 / $989.00	Facility		$387.00	$770.00	$989.00
United Facility/Professional Facility Modifier Low / Median / High Price $944.00 / $944.00 / $944.00	Facility		$944.00	$944.00	$944.00