Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.89 / $2,678.00 / $7,602.00	Facility		$272.89	$2,678.00	$7,602.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $188.70 / $410.45 / $562.54	Facility	54	$188.70	$410.45	$562.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $293.95 / $504.13	Professional		$248.53	$293.95	$504.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,480.00 / $2,244.00	Facility		$764.00	$1,480.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $384.81 / $606.37	Professional		$279.14	$384.81	$606.37
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 $292.36 / $396.50 / $616.34	Professional		$292.36	$396.50	$616.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,550.40 / $1,550.40	Facility		$55.00	$1,550.40	$1,550.40
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $1,085.28 / $1,085.28	Facility	54	$956.89	$1,085.28	$1,085.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,150.80 / $2,370.56 / $2,763.98	Professional		$2,150.80	$2,370.56	$2,763.98
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 $258.60 / $331.95 / $603.55	Professional		$258.60	$331.95	$603.55