Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.48 / $1,285.44 / $6,681.00	Facility		$251.48	$1,285.44	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $124.52 / $270.86 / $371.23	Facility	54	$124.52	$270.86	$371.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.97 / $196.65 / $365.31	Professional		$163.97	$196.65	$365.31
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $123.21 / $150.16 / $244.12	Professional	54	$123.21	$150.16	$244.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.34 / $251.34 / $251.34	Professional		$251.34	$251.34	$251.34
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 $183.65 / $253.34 / $400.50	Professional		$183.65	$253.34	$400.50
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 $192.97 / $261.07 / $398.37	Professional		$192.97	$261.07	$398.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,041.68 / $1,041.68	Facility		$55.00	$1,041.68	$1,041.68
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $641.12 / $729.18 / $729.18	Facility	54	$641.12	$729.18	$729.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,439.44 / $1,554.96 / $1,820.18	Professional		$1,439.44	$1,554.96	$1,820.18
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 $173.63 / $224.70 / $410.12	Professional		$173.63	$224.70	$410.12