Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.63 / $2,678.00 / $7,602.00	Facility		$166.63	$2,678.00	$7,602.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $124.31 / $270.39 / $370.58	Facility	54	$124.31	$270.39	$370.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $187.72 / $327.25	Professional		$153.71	$187.72	$327.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.56 / $185.56 / $185.56	Professional		$185.56	$185.56	$185.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,024.00	Facility		$649.00	$1,364.00	$2,024.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.19 / $242.56 / $387.63	Professional		$175.19	$242.56	$387.63
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 $190.88 / $256.45 / $383.36	Professional		$190.88	$256.45	$383.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,930.50 / $3,930.50	Facility		$55.00	$3,930.50	$3,930.50
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $359.03 / $725.42 / $725.42	Facility	54	$359.03	$725.42	$725.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.32 / $1,452.64 / $1,724.18	Professional		$1,434.32	$1,452.64	$1,724.18
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 $162.54 / $205.44 / $384.70	Professional		$162.54	$205.44	$384.70