Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.00 / $1,794.00 / $6,681.00	Facility		$452.00	$1,794.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $171.83 / $373.76 / $512.25	Facility	54	$171.83	$373.76	$512.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.69 / $282.35 / $521.00	Professional		$226.69	$282.35	$521.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $376.76 / $376.76 / $376.76	Professional		$376.76	$376.76	$376.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,354.00 / $2,186.00	Facility		$649.00	$1,354.00	$2,186.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.18 / $351.18 / $553.46	Professional		$254.18	$351.18	$553.46
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 $272.77 / $361.96 / $561.00	Professional		$272.77	$361.96	$561.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,415.36 / $1,415.36	Facility		$55.00	$1,415.36	$1,415.36
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $875.28 / $990.75 / $990.75	Facility	54	$875.28	$990.75	$990.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.36 / $2,236.16 / $2,610.90	Professional		$1,965.36	$2,236.16	$2,610.90
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 $242.68 / $308.83 / $573.49	Professional		$242.68	$308.83	$573.49