Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $7,602.00 / $23,491.00	Facility		$2,678.00	$7,602.00	$23,491.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,833.30 / $7,003.21 / $35,512.50	Facility	50	$2,833.30	$7,003.21	$35,512.50
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $853.42 / $1,856.32 / $2,544.16	Facility	54	$853.42	$1,856.32	$2,544.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,125.91 / $1,409.17 / $3,406.00	Professional		$1,125.91	$1,409.17	$3,406.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $161.22 / $408.72 / $828.51	Professional	AS	$161.22	$408.72	$828.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,096.79 / $1,549.07 / $2,312.62	Professional		$1,096.79	$1,549.07	$2,312.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,512.00 / $7,266.00 / $13,961.00	Facility		$3,512.00	$7,266.00	$13,961.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,293.59 / $1,854.59 / $2,830.36	Professional		$1,293.59	$1,854.59	$2,830.36
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 $1,387.66 / $1,931.18 / $2,818.36	Professional		$1,387.66	$1,931.18	$2,818.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,570.16 / $52,497.75 / $52,497.75	Facility		$9,570.16	$52,497.75	$52,497.75
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $2,270.53 / $34,832.28 / $34,832.28	Facility	54	$2,270.53	$34,832.28	$34,832.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $324.36 / $4,976.04 / $4,976.04	Facility	AS	$324.36	$4,976.04	$4,976.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,316.67 / $11,316.67 / $11,316.67	Professional		$11,316.67	$11,316.67	$11,316.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,052.00 / $14,687.00 / $29,870.00	Facility		$5,052.00	$14,687.00	$29,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,229.54 / $1,713.69 / $2,891.61	Professional		$1,229.54	$1,713.69	$2,891.61