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 $192.44 / $418.59 / $573.72	Facility	54	$192.44	$418.59	$573.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.58 / $310.61 / $550.36	Professional		$256.58	$310.61	$550.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.69 / $386.72 / $391.74	Professional		$304.69	$386.72	$391.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,483.00 / $2,244.00	Facility		$764.00	$1,483.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.11 / $398.32 / $628.41	Professional		$290.11	$398.32	$628.41
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 $300.47 / $408.84 / $634.98	Professional		$300.47	$408.84	$634.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,399.20 / $1,545.03 / $12,000.00	Facility		$1,399.20	$1,545.03	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $1,081.52 / $1,081.52	Facility	54	$956.89	$1,081.52	$1,081.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,155.44 / $2,406.08 / $2,780.93	Professional		$2,155.44	$2,406.08	$2,780.93
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 $276.39 / $350.20 / $634.98	Professional		$276.39	$350.20	$634.98