Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.90 / $1,821.00 / $6,446.00	Facility		$521.90	$1,821.00	$6,446.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $340.87 / $741.43 / $1,016.18	Facility	54	$340.87	$741.43	$1,016.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.33 / $567.14 / $934.55	Professional		$476.33	$567.14	$934.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $520.88 / $610.74 / $866.28	Professional		$520.88	$610.74	$866.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,428.00 / $2,271.00 / $3,470.00	Facility		$1,428.00	$2,271.00	$3,470.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.25 / $707.12 / $1,094.03	Professional		$512.25	$707.12	$1,094.03
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 $536.37 / $734.46 / $1,121.09	Professional		$536.37	$734.46	$1,121.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,458.40 / $2,678.10 / $26,542.00	Facility		$2,458.40	$2,678.10	$26,542.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,688.06 / $1,874.67 / $1,874.67	Facility	54	$1,688.06	$1,874.67	$1,874.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,783.20 / $4,098.39 / $4,775.47	Professional		$3,783.20	$4,098.39	$4,775.47
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,560.00 / $2,914.00	Facility		$719.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.98 / $637.79 / $1,220.92	Professional		$482.98	$637.79	$1,220.92