Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.00 / $1,821.00 / $6,681.00	Facility		$452.00	$1,821.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $191.43 / $416.39 / $570.66	Facility	54	$191.43	$416.39	$570.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.27 / $337.70 / $514.82	Professional		$265.27	$337.70	$514.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.23 / $248.33 / $380.35	Professional		$221.23	$248.33	$380.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,504.00 / $2,244.00	Facility		$764.00	$1,504.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.18 / $401.93 / $619.03	Professional		$283.18	$401.93	$619.03
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 $304.77 / $418.48 / $635.28	Professional		$304.77	$418.48	$635.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,413.04 / $1,578.28 / $12,000.00	Facility		$1,413.04	$1,578.28	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $970.65 / $1,104.80 / $1,104.80	Facility	54	$970.65	$1,104.80	$1,104.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,180.16 / $2,363.92 / $2,754.90	Professional		$2,180.16	$2,363.92	$2,754.90
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $794.00 / $2,577.00	Facility		$294.00	$794.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.97 / $397.52 / $700.93	Professional		$276.97	$397.52	$700.93