Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.55 / $1,794.00 / $6,681.00	Facility		$395.55	$1,794.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $136.38 / $296.66 / $406.60	Facility	54	$136.38	$296.66	$406.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $219.50 / $415.14	Professional		$175.61	$219.50	$415.14
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $134.96 / $161.47 / $256.47	Professional	54	$134.96	$161.47	$256.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.75 / $198.50 / $316.77	Professional		$175.75	$198.50	$316.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,504.00 / $2,257.00	Facility		$764.00	$1,504.00	$2,257.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.64 / $279.16 / $441.52	Professional		$201.64	$279.16	$441.52
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 $211.76 / $289.08 / $442.89	Professional		$211.76	$289.08	$442.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,110.50 / $1,110.50	Facility		$55.00	$1,110.50	$1,110.50
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $681.37 / $777.35 / $777.35	Facility	54	$681.37	$777.35	$777.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,543.44 / $1,670.64 / $1,909.88	Professional		$1,543.44	$1,670.64	$1,909.88
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 $182.88 / $244.60 / $445.02	Professional		$182.88	$244.60	$445.02