Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.15 / $2,303.00 / $7,602.00	Facility		$760.15	$2,303.00	$7,602.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $570.11 / $855.17 / $1,818.04	Facility	54	$570.11	$855.17	$1,818.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.28 / $920.28 / $1,325.17	Professional		$636.28	$920.28	$1,325.17
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $114.02 / $152.79 / $171.03	Professional	55	$114.02	$152.79	$171.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $726.39 / $726.39 / $799.03	Professional		$726.39	$726.39	$799.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,132.00 / $3,728.00 / $5,774.00	Facility		$2,132.00	$3,728.00	$5,774.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.93 / $926.33 / $2,204.44	Professional		$668.93	$926.33	$2,204.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.11 / $919.96 / $1,472.47	Professional		$679.11	$919.96	$1,472.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,441.20 / $11,879.05 / $12,000.00	Facility		$4,441.20	$11,879.05	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,481.76 / $7,881.75 / $7,881.75	Facility	54	$1,481.76	$7,881.75	$7,881.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,899.52 / $6,128.88 / $6,737.48	Professional		$5,899.52	$6,128.88	$6,737.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,626.00 / $6,291.00	Facility		$1,794.00	$3,626.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.71 / $811.28 / $1,523.46	Professional		$667.71	$811.28	$1,523.46