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 $172.61 / $375.46 / $514.58	Facility	54	$172.61	$375.46	$514.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.72 / $269.06 / $443.20	Professional		$227.72	$269.06	$443.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.68 / $447.68 / $447.68	Professional		$447.68	$447.68	$447.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $1,487.00 / $2,244.00	Facility		$756.00	$1,487.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.95 / $345.47 / $545.22	Professional		$251.95	$345.47	$545.22
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 $264.25 / $362.57 / $542.25	Professional		$264.25	$362.57	$542.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,562.20 / $1,588.00	Facility		$55.00	$1,562.20	$1,588.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $874.23 / $990.65 / $990.65	Facility	54	$874.23	$990.65	$990.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,963.28 / $2,084.23 / $2,435.33	Professional		$1,963.28	$2,084.23	$2,435.33
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 $236.51 / $302.48 / $531.00	Professional		$236.51	$302.48	$531.00