Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.60 / $1,005.28 / $4,069.00	Facility		$260.60	$1,005.28	$4,069.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $130.30 / $283.43 / $388.44	Facility	52	$130.30	$283.43	$388.44
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $195.45 / $425.14 / $582.66	Facility	54	$195.45	$425.14	$582.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.15 / $319.22 / $565.33	Professional		$254.15	$319.22	$565.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $586.53 / $586.53 / $586.53	Professional		$586.53	$586.53	$586.53
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 $289.45 / $398.32 / $632.62	Professional		$289.45	$398.32	$632.62
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 $309.33 / $411.84 / $644.25	Professional		$309.33	$411.84	$644.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,439.66 / $1,606.45 / $12,000.00	Facility		$1,439.66	$1,606.45	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,151.73 / $1,285.16 / $1,285.16	Facility	52	$1,151.73	$1,285.16	$1,285.16
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,007.76 / $1,124.51 / $1,124.51	Facility	54	$1,007.76	$1,124.51	$1,124.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,258.80 / $2,546.80 / $2,983.35	Professional		$2,258.80	$2,546.80	$2,983.35
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 $269.54 / $347.87 / $631.92	Professional		$269.54	$347.87	$631.92