Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.82 / $1,829.00 / $6,681.00	Facility		$403.82	$1,829.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $197.74 / $430.12 / $589.49	Facility	54	$197.74	$430.12	$589.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.88 / $310.11 / $533.71	Professional		$260.88	$310.11	$533.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $503.60 / $503.60 / $503.60	Professional		$503.60	$503.60	$503.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $1,491.00 / $2,257.00	Facility		$756.00	$1,491.00	$2,257.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.24 / $405.35 / $639.38	Professional		$293.24	$405.35	$639.38
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 $311.97 / $423.08 / $652.44	Professional		$311.97	$423.08	$652.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,450.88 / $1,609.06 / $16,394.00	Facility		$1,450.88	$1,609.06	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $997.15 / $1,126.33 / $1,126.33	Facility	54	$997.15	$1,126.33	$1,126.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.40 / $2,533.04 / $2,947.43	Professional		$2,238.40	$2,533.04	$2,947.43
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 $272.54 / $366.68 / $634.82	Professional		$272.54	$366.68	$634.82