Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.16 / $2,133.00 / $7,602.00	Facility		$649.16	$2,133.00	$7,602.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $421.28 / $631.91 / $1,552.60	Facility	54	$421.28	$631.91	$1,552.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.70 / $775.08 / $973.75	Professional		$561.70	$775.08	$973.75
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $421.28 / $589.78 / $730.31	Professional	54	$421.28	$589.78	$730.31
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $84.26 / $117.96 / $146.06	Professional	55	$84.26	$117.96	$146.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $539.21 / $539.21 / $973.51	Professional		$539.21	$539.21	$973.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,343.00 / $2,142.00 / $2,805.00	Facility		$1,343.00	$2,142.00	$2,805.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.74 / $807.21 / $1,685.10	Professional		$534.74	$807.21	$1,685.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.14 / $755.46 / $1,307.91	Professional		$555.14	$755.46	$1,307.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,117.62 / $4,230.84 / $12,000.00	Facility		$4,117.62	$4,230.84	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,904.24 / $2,152.54 / $2,152.54	Facility	54	$1,904.24	$2,152.54	$2,152.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,370.96 / $5,003.20 / $5,720.33	Professional		$4,370.96	$5,003.20	$5,720.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $2,260.00 / $4,099.00	Facility		$1,130.00	$2,260.00	$4,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.42 / $710.99 / $1,329.20	Professional		$595.42	$710.99	$1,329.20