Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.42 / $2,011.00 / $7,602.00	Facility		$467.42	$2,011.00	$7,602.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $331.94 / $722.01 / $989.55	Facility	54	$331.94	$722.01	$989.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.58 / $516.54 / $840.61	Professional		$442.58	$516.54	$840.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $841.71 / $841.71 / $841.71	Professional		$841.71	$841.71	$841.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $1,480.00 / $2,244.00	Facility		$756.00	$1,480.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.47 / $669.15 / $1,054.98	Professional		$490.47	$669.15	$1,054.98
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 $514.05 / $695.38 / $1,077.64	Professional		$514.05	$695.38	$1,077.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,920.45 / $2,977.90 / $12,000.00	Facility		$2,920.45	$2,977.90	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,639.31 / $1,817.51 / $1,817.51	Facility	54	$1,639.31	$1,817.51	$1,817.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,674.72 / $3,960.88 / $4,621.58	Professional		$3,674.72	$3,960.88	$4,621.58
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 $462.90 / $593.20 / $1,093.19	Professional		$462.90	$593.20	$1,093.19