Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.00 / $2,011.00 / $7,602.00	Facility		$452.00	$2,011.00	$7,602.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $195.29 / $424.77 / $582.16	Facility	54	$195.29	$424.77	$582.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $292.54 / $493.01	Professional		$252.78	$292.54	$493.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $381.26 / $381.26 / $381.26	Professional		$381.26	$381.26	$381.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,480.00 / $2,244.00	Facility		$764.00	$1,480.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.52 / $389.68 / $616.04	Professional		$284.52	$389.68	$616.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.52 / $397.42 / $611.12	Professional		$298.52	$397.42	$611.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.48 / $1,543.89 / $12,000.00	Facility		$1,412.48	$1,543.89	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $972.78 / $1,080.72 / $1,080.72	Facility	54	$972.78	$1,080.72	$1,080.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,172.80 / $2,321.92 / $2,722.58	Professional		$2,172.80	$2,321.92	$2,722.58
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $808.00 / $2,577.00	Facility		$294.00	$808.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $335.96 / $646.36	Professional		$266.88	$335.96	$646.36