Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.00 / $1,821.00 / $6,681.00	Facility		$452.00	$1,821.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $213.86 / $465.17 / $637.54	Facility	54	$213.86	$465.17	$637.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.37 / $334.01 / $615.23	Professional		$247.37	$334.01	$615.23
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $211.61 / $250.51 / $401.63	Professional	54	$211.61	$250.51	$401.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $419.07 / $437.75 / $559.79	Professional		$419.07	$437.75	$559.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,354.00 / $2,063.00	Facility		$649.00	$1,354.00	$2,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.79 / $419.91 / $660.87	Professional		$298.79	$419.91	$660.87
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 $320.64 / $437.17 / $680.62	Professional		$320.64	$437.17	$680.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,788.33 / $1,788.33	Facility		$55.00	$1,788.33	$1,788.33
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,094.65 / $1,251.83 / $1,251.83	Facility	54	$1,094.65	$1,251.83	$1,251.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,459.67 / $2,607.36 / $3,042.60	Professional		$2,459.67	$2,607.36	$3,042.60
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 $264.27 / $358.95 / $668.46	Professional		$264.27	$358.95	$668.46