Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.00 / $349.00 / $417.00	Facility		$287.00	$349.00	$417.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $612.71 / $612.71 / $612.71	Facility		$612.71	$612.71	$612.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $371.51 / $1,617.28	Facility		$30.19	$371.51	$1,617.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,400.00	Facility		$100.00	$100.00	$1,400.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $172.00 / $172.00	Facility		$172.00	$172.00	$172.00