Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.44 / $1,821.00 / $6,681.00	Facility		$442.44	$1,821.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $301.44 / $655.68 / $898.64	Facility	54	$301.44	$655.68	$898.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.92 / $473.13 / $776.64	Professional		$401.92	$473.13	$776.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,270.00 / $2,142.00 / $2,838.00	Facility		$1,270.00	$2,142.00	$2,838.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.88 / $624.14 / $980.21	Professional		$450.88	$624.14	$980.21
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 $476.25 / $647.44 / $1,007.45	Professional		$476.25	$647.44	$1,007.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,180.00 / $2,379.28 / $12,000.00	Facility		$2,180.00	$2,379.28	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,496.25 / $1,665.50 / $1,665.50	Facility	54	$1,496.25	$1,665.50	$1,665.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,353.28 / $3,835.28 / $4,465.20	Professional		$3,353.28	$3,835.28	$4,465.20
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $786.00 / $2,495.00	Facility		$294.00	$786.00	$2,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.53 / $584.64 / $1,091.70	Professional		$444.53	$584.64	$1,091.70