Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.90 / $2,303.00 / $6,681.00	Facility		$529.90	$2,303.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $144.60 / $341.26 / $554.16	Facility	54	$144.60	$341.26	$554.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.37 / $279.45 / $393.45	Professional		$197.37	$279.45	$393.45
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $144.60 / $209.60 / $277.11	Professional	54	$144.60	$209.60	$277.11
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $28.92 / $41.36 / $52.13	Professional	55	$28.92	$41.36	$52.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.98 / $218.18 / $574.00	Professional		$183.98	$218.18	$574.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $289.77 / $416.71 / $518.27	Professional	50	$289.77	$416.71	$518.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,522.00 / $2,430.00	Facility		$764.00	$1,522.00	$2,430.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.19 / $291.45 / $578.29	Professional		$181.19	$291.45	$578.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.04 / $307.81 / $520.19	Professional		$203.04	$307.81	$520.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,395.96 / $1,436.04	Facility		$55.00	$1,395.96	$1,436.04
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $645.34 / $720.56 / $720.56	Facility	54	$645.34	$720.56	$720.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,680.00 / $4,509.17 / $4,509.17	Professional		$3,680.00	$4,509.17	$4,509.17
United Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,560.00 / $2,914.00	Facility		$695.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.75 / $327.43 / $604.16	Professional		$228.75	$327.43	$604.16