Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.00 / $1,367.00 / $6,681.00	Facility		$465.00	$1,367.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $283.45 / $616.57 / $845.05	Facility	54	$283.45	$616.57	$845.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.95 / $454.48 / $754.51	Professional		$377.95	$454.48	$754.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $627.45 / $627.45 / $825.13	Professional		$627.45	$627.45	$825.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,343.00 / $2,136.00 / $2,838.00	Facility		$1,343.00	$2,136.00	$2,838.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.48 / $587.54 / $929.86	Professional		$429.48	$587.54	$929.86
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 $448.17 / $616.85 / $951.21	Professional		$448.17	$616.85	$951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,061.40 / $2,243.85 / $12,000.00	Facility		$2,061.40	$2,243.85	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,415.72 / $1,570.70 / $1,570.70	Facility	54	$1,415.72	$1,570.70	$1,570.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,173.92 / $3,606.48 / $4,200.30	Professional		$3,173.92	$3,606.48	$4,200.30
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,560.00 / $2,914.00	Facility		$719.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.52 / $552.63 / $1,004.49	Professional		$413.52	$552.63	$1,004.49