Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.97 / $575.00 / $4,069.00	Facility		$188.97	$575.00	$4,069.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $60.05 / $80.31 / $241.38	Facility	54	$60.05	$80.31	$241.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $121.32 / $247.22	Professional		$85.31	$121.32	$247.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $119.62 / $138.38	Professional		$103.66	$119.62	$138.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,065.00	Facility		$649.00	$1,364.00	$2,065.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $121.36 / $195.29	Professional		$92.61	$121.36	$195.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $144.51 / $310.60	Professional		$100.60	$144.51	$310.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $555.85 / $555.85	Facility		$55.00	$555.85	$555.85
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $343.32 / $389.09 / $389.09	Facility	54	$343.32	$389.09	$389.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $782.96 / $926.08 / $1,071.75	Professional		$782.96	$926.08	$1,071.75
United Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $786.00 / $2,495.00	Facility		$265.00	$786.00	$2,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $130.36 / $237.65	Professional		$103.48	$130.36	$237.65