Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.00 / $1,794.00 / $6,681.00	Facility		$452.00	$1,794.00	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $165.38 / $248.07 / $673.28	Facility	54	$165.38	$248.07	$673.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $315.32 / $451.37	Professional		$227.86	$315.32	$451.37
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $165.38 / $236.49 / $316.70	Professional	54	$165.38	$236.49	$316.70
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $33.08 / $47.30 / $63.34	Professional	55	$33.08	$47.30	$63.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.18 / $262.81 / $500.04	Professional		$201.18	$262.81	$500.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $475.79 / $510.45 / $622.37	Professional	50	$475.79	$510.45	$622.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,480.00 / $2,244.00	Facility		$764.00	$1,480.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.79 / $350.48 / $670.98	Professional		$212.79	$350.48	$670.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $356.09 / $582.78	Professional		$228.11	$356.09	$582.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,869.28 / $1,933.96	Facility		$55.00	$1,869.28	$1,933.96
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $740.71 / $836.14 / $836.14	Facility	54	$740.71	$836.14	$836.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,831.00 / $2,831.00 / $2,831.00	Professional		$2,831.00	$2,831.00	$2,831.00
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 $275.76 / $383.00 / $657.44	Professional		$275.76	$383.00	$657.44