Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $1,791.00 / $6,681.00	Facility		$582.00	$1,791.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $327.74 / $712.87 / $977.03	Facility	54	$327.74	$712.87	$977.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.96 / $509.10 / $856.11	Professional		$434.96	$509.10	$856.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.08 / $584.76 / $648.40	Professional		$304.08	$584.76	$648.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,161.00 / $2,849.00	Facility		$1,275.00	$2,161.00	$2,849.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.30 / $680.31 / $1,076.30	Professional		$496.30	$680.31	$1,076.30
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 $517.77 / $702.85 / $1,086.02	Professional		$517.77	$702.85	$1,086.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.88 / $2,543.71 / $12,000.00	Facility		$2,344.88	$2,543.71	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,610.71 / $1,780.60 / $1,780.60	Facility	54	$1,610.71	$1,780.60	$1,780.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,609.44 / $4,043.60 / $4,707.14	Professional		$3,609.44	$4,043.60	$4,707.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $2,297.00 / $4,099.00	Facility		$1,130.00	$2,297.00	$4,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.29 / $611.67 / $1,086.03	Professional		$467.29	$611.67	$1,086.03