Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.00 / $1,302.00 / $2,023.00	Facility		$697.00	$1,302.00	$2,023.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $550.00 / $1,519.00	Facility		$540.00	$550.00	$1,519.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $684.00 / $1,497.00	Facility		$425.00	$684.00	$1,497.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,002.00 / $4,002.00 / $5,000.00	Facility		$4,002.00	$4,002.00	$5,000.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $558.65 / $560.91 / $929.00	Facility		$558.65	$560.91	$929.00
United Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $944.00 / $1,024.00	Facility		$494.00	$944.00	$1,024.00