Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.36 / $1,791.00 / $6,681.00	Facility		$378.36	$1,791.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $257.16 / $559.37 / $766.64	Facility	54	$257.16	$559.37	$766.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.74 / $409.22 / $657.15	Professional		$341.74	$409.22	$657.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.26 / $230.26 / $281.83	Professional		$230.26	$230.26	$281.83
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 $385.31 / $528.75 / $829.42	Professional		$385.31	$528.75	$829.42
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 $401.01 / $554.64 / $852.19	Professional		$401.01	$554.64	$852.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,858.84 / $2,031.48 / $12,000.00	Facility		$1,858.84	$2,031.48	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,275.83 / $1,422.04 / $1,422.04	Facility	54	$1,275.83	$1,422.04	$1,422.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,865.60 / $3,238.80 / $3,762.75	Professional		$2,865.60	$3,238.80	$3,762.75
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 $383.37 / $490.23 / $884.33	Professional		$383.37	$490.23	$884.33