Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.18 / $3,940.00 / $10,746.00	Facility		$1,652.18	$3,940.00	$10,746.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $826.09 / $1,239.14 / $2,634.31	Facility	54	$826.09	$1,239.14	$2,634.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.68 / $1,467.06 / $1,762.60	Professional		$1,023.68	$1,467.06	$1,762.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,028.53 / $2,028.53 / $2,028.53	Professional		$2,028.53	$2,028.53	$2,028.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,358.88 / $4,036.00 / $6,449.00	Facility		$2,358.88	$4,036.00	$6,449.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.68 / $1,439.44 / $3,194.21	Professional		$973.68	$1,439.44	$3,194.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.07 / $1,413.13 / $2,337.58	Professional		$1,001.07	$1,413.13	$2,337.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,750.00 / $11,879.05 / $11,879.05	Facility		$4,750.00	$11,879.05	$11,879.05
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $2,136.04 / $7,881.75 / $7,881.75	Facility	54	$2,136.04	$7,881.75	$7,881.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,555.36 / $8,792.16 / $9,656.48	Professional		$8,555.36	$8,792.16	$9,656.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,103.00 / $6,090.00 / $9,717.00	Facility		$3,103.00	$6,090.00	$9,717.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,060.80 / $1,288.82 / $2,374.11	Professional		$1,060.80	$1,288.82	$2,374.11