Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.00 / $2,011.00 / $7,602.00	Facility		$452.00	$2,011.00	$7,602.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $199.88 / $434.78 / $595.90	Facility	54	$199.88	$434.78	$595.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.70 / $309.30 / $517.48	Professional		$263.70	$309.30	$517.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.49 / $247.49 / $517.26	Professional		$247.49	$247.49	$517.26
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 $295.69 / $407.10 / $641.26	Professional		$295.69	$407.10	$641.26
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 $309.76 / $419.67 / $656.84	Professional		$309.76	$419.67	$656.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,467.84 / $1,630.87 / $12,000.00	Facility		$1,467.84	$1,630.87	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,009.86 / $1,141.60 / $1,141.60	Facility	54	$1,009.86	$1,141.60	$1,141.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,267.28 / $2,500.16 / $2,916.08	Professional		$2,267.28	$2,500.16	$2,916.08
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 $283.76 / $365.89 / $670.13	Professional		$283.76	$365.89	$670.13