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 $156.43 / $340.25 / $466.34	Facility	54	$156.43	$340.25	$466.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $236.45 / $385.31	Professional		$200.02	$236.45	$385.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.07 / $209.68 / $309.87	Professional		$187.07	$209.68	$309.87
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 $223.71 / $313.25 / $491.86	Professional		$223.71	$313.25	$491.86
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 $240.79 / $324.18 / $493.37	Professional		$240.79	$324.18	$493.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,373.52 / $2,000.00 / $12,000.00	Facility		$1,373.52	$2,000.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $443.97 / $895.43 / $895.43	Facility	54	$443.97	$895.43	$895.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,776.88 / $1,838.88 / $2,189.85	Professional		$1,776.88	$1,838.88	$2,189.85
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 $205.22 / $258.33 / $460.87	Professional		$205.22	$258.33	$460.87