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 $178.01 / $387.20 / $530.66	Facility	54	$178.01	$387.20	$530.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.85 / $277.41 / $451.26	Professional		$234.85	$277.41	$451.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,487.00 / $2,244.00	Facility		$764.00	$1,487.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $362.64 / $573.90	Professional		$263.33	$362.64	$573.90
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 $277.20 / $376.04 / $581.23	Professional		$277.20	$376.04	$581.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,309.00 / $1,455.50 / $12,000.00	Facility		$1,309.00	$1,455.50	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $900.74 / $1,018.85 / $1,018.85	Facility	54	$900.74	$1,018.85	$1,018.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.32 / $2,250.64 / $2,627.78	Professional		$2,022.32	$2,250.64	$2,627.78
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 $256.45 / $318.49 / $587.70	Professional		$256.45	$318.49	$587.70