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 $203.71 / $443.10 / $607.28	Facility	54	$203.71	$443.10	$607.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.75 / $318.66 / $532.57	Professional		$268.75	$318.66	$532.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $433.71 / $433.71 / $433.71	Professional		$433.71	$433.71	$433.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,504.00 / $2,244.00	Facility		$778.00	$1,504.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $419.66 / $659.44	Professional		$303.45	$419.66	$659.44
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 $320.20 / $433.83 / $669.74	Professional		$320.20	$433.83	$669.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,492.48 / $1,658.32 / $12,000.00	Facility		$1,492.48	$1,658.32	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,024.70 / $1,160.82 / $1,160.82	Facility	54	$1,024.70	$1,160.82	$1,160.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,302.71 / $2,579.60 / $3,001.65	Professional		$2,302.71	$2,579.60	$3,001.65
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 $293.57 / $364.53 / $693.30	Professional		$293.57	$364.53	$693.30