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 $205.07 / $446.07 / $611.37	Facility	54	$205.07	$446.07	$611.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.56 / $318.77 / $542.29	Professional		$270.56	$318.77	$542.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.79 / $413.79 / $413.79	Professional		$413.79	$413.79	$413.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,514.00 / $2,244.00	Facility		$764.00	$1,514.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.93 / $421.52 / $660.57	Professional		$303.93	$421.52	$660.57
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 $320.35 / $437.43 / $674.18	Professional		$320.35	$437.43	$674.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.88 / $1,666.97 / $12,000.00	Facility		$1,500.88	$1,666.97	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,032.09 / $1,166.88 / $1,166.88	Facility	54	$1,032.09	$1,166.88	$1,166.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,323.04 / $2,561.19 / $2,977.43	Professional		$2,323.04	$2,561.19	$2,977.43
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 $293.27 / $389.23 / $704.28	Professional		$293.27	$389.23	$704.28