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 $221.35 / $481.47 / $659.88	Facility	54	$221.35	$481.47	$659.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.82 / $344.88 / $587.88	Professional		$291.82	$344.88	$587.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $471.28 / $573.85 / $573.85	Professional		$471.28	$573.85	$573.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,483.00 / $2,244.00	Facility		$764.00	$1,483.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $447.86 / $711.98	Professional		$327.45	$447.86	$711.98
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 $343.69 / $464.93 / $721.46	Professional		$343.69	$464.93	$721.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,632.24 / $1,807.57 / $12,000.00	Facility		$1,632.24	$1,807.57	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,120.06 / $1,265.30 / $1,265.30	Facility	54	$1,120.06	$1,265.30	$1,265.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,514.96 / $2,784.64 / $3,243.45	Professional		$2,514.96	$2,784.64	$3,243.45
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 $315.35 / $407.09 / $755.78	Professional		$315.35	$407.09	$755.78