Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.00 / $1,821.00 / $6,681.00	Facility		$452.00	$1,821.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $209.54 / $455.78 / $624.66	Facility	54	$209.54	$455.78	$624.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $327.64 / $576.70	Professional		$273.88	$327.64	$576.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $414.08 / $414.08 / $414.08	Professional		$414.08	$414.08	$414.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,480.00 / $2,217.00	Facility		$764.00	$1,480.00	$2,217.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.14 / $417.19 / $658.21	Professional		$306.14	$417.19	$658.21
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 $322.52 / $437.90 / $664.54	Professional		$322.52	$437.90	$664.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,901.20 / $1,931.40	Facility		$55.00	$1,901.20	$1,931.40
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,063.92 / $1,207.74 / $1,207.74	Facility	54	$1,063.92	$1,207.74	$1,207.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,388.16 / $2,559.44 / $2,993.40	Professional		$2,388.16	$2,559.44	$2,993.40
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 $289.89 / $366.93 / $684.14	Professional		$289.89	$366.93	$684.14