Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,511.89	Facility		$794.33	$1,148.15	$2,511.89
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $363.08 / $1,584.89	Facility		$28.18	$363.08	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Optum Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,862.09	Facility		$851.14	$1,288.25	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,862.09	Facility		$851.14	$1,288.25	$1,862.09