Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,819.70 / $3,981.07	Facility		$489.78	$1,819.70	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $794.33	Professional		$288.40	$398.11	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $467.74 / $1,122.02	Professional	50	$302.00	$467.74	$1,122.02
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $213.80 / $380.19 / $630.96	Professional	54	$213.80	$380.19	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $446.68	Professional		$263.03	$295.12	$446.68
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $407.38 / $676.08	Professional	50	$371.54	$407.38	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $2,238.72	Facility		$724.44	$1,513.56	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $741.31	Professional		$302.00	$436.52	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $630.96	Professional		$275.42	$380.19	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $28,840.32	Facility		$1,995.26	$1,995.26	$28,840.32
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	54	$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Facility Modifier 55 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	55	$288.40	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $2,754.23	Professional		$2,398.83	$2,754.23	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,445.44 / $2,884.03	Facility		$724.44	$1,445.44	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $588.84	Professional		$269.15	$338.84	$588.84