Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.00 / $2,011.00 / $7,602.00	Facility		$465.00	$2,011.00	$7,602.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $257.44 / $559.97 / $767.48	Facility	54	$257.44	$559.97	$767.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.64 / $398.59 / $640.66	Professional		$339.64	$398.59	$640.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,487.00 / $2,244.00	Facility		$764.00	$1,487.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.39 / $511.12 / $821.48	Professional		$370.39	$511.12	$821.48
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 $400.94 / $539.14 / $819.49	Professional		$400.94	$539.14	$819.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,272.60 / $2,314.75 / $12,000.00	Facility		$2,272.60	$2,314.75	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,275.83 / $1,414.06 / $1,414.06	Facility	54	$1,275.83	$1,414.06	$1,414.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,859.28 / $2,941.28 / $3,432.23	Professional		$2,859.28	$2,941.28	$3,432.23
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 $343.26 / $453.42 / $793.22	Professional		$343.26	$453.42	$793.22