Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.33 / $1,722.16 / $6,681.00	Facility		$460.33	$1,722.16	$6,681.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $217.84 / $326.76 / $746.79	Facility	54	$217.84	$326.76	$746.79
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $43.57 / $65.34 / $149.36	Facility	55	$43.57	$65.34	$149.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $353.39 / $503.95	Professional		$269.14	$353.39	$503.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $300.00 / $450.78 / $1,134.57	Professional	50	$300.00	$450.78	$1,134.57
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $217.84 / $299.42 / $351.27	Professional	54	$217.84	$299.42	$351.27
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $43.57 / $58.38 / $70.25	Professional	55	$43.57	$58.38	$70.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $276.45 / $447.86	Professional		$193.52	$276.45	$447.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $414.68 / $582.34 / $671.79	Professional	50	$414.68	$582.34	$671.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,500.00 / $2,257.00	Facility		$764.00	$1,500.00	$2,257.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $398.11 / $842.31	Professional		$267.20	$398.11	$842.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.91 / $371.79 / $632.54	Professional		$275.91	$371.79	$632.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,765.45 / $1,826.65 / $16,394.00	Facility		$1,765.45	$1,826.65	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $979.13 / $1,117.09 / $1,117.09	Facility	54	$979.13	$1,117.09	$1,117.09
Lucent Health Facility/Professional Facility Modifier 55 Low / Median / High Price $209.81 / $239.38 / $239.38	Facility	55	$209.81	$239.38	$239.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,245.28 / $2,492.32 / $2,743.50	Professional		$2,245.28	$2,492.32	$2,743.50
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $1,465.00 / $2,914.00	Facility		$665.00	$1,465.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.12 / $340.44 / $642.41	Professional		$282.12	$340.44	$642.41