Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.43 / $1,357.00 / $7,602.00	Facility		$170.43	$1,357.00	$7,602.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $106.32 / $142.19 / $414.35	Facility	54	$106.32	$142.19	$414.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $199.84 / $470.93	Professional		$144.28	$199.84	$470.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.47 / $191.47 / $192.54	Professional		$191.47	$191.47	$192.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,487.00 / $2,244.00	Facility		$764.00	$1,487.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.17 / $213.95 / $339.89	Professional		$166.17	$213.95	$339.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.50 / $257.13 / $541.10	Professional		$186.50	$257.13	$541.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $939.55 / $939.55	Facility		$55.00	$939.55	$939.55
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $589.19 / $657.69 / $657.69	Facility	54	$589.19	$657.69	$657.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.08 / $1,552.00 / $1,797.30	Professional		$1,342.08	$1,552.00	$1,797.30
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $794.00 / $2,577.00	Facility		$294.00	$794.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.31 / $224.49 / $395.78	Professional		$176.31	$224.49	$395.78