Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,193.06 / $3,910.60 / $6,446.00	Facility		$1,193.06	$3,910.60	$6,446.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $523.58 / $785.36 / $1,669.62	Facility	54	$523.58	$785.36	$1,669.62
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $104.72 / $157.07 / $333.92	Facility	55	$104.72	$157.07	$333.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.10 / $942.72 / $1,264.55	Professional		$698.10	$942.72	$1,264.55
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $523.58 / $701.59 / $835.99	Professional	54	$523.58	$701.59	$835.99
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $104.72 / $145.26 / $167.20	Professional	55	$104.72	$145.26	$167.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $631.90 / $665.71 / $1,078.45	Professional		$631.90	$665.71	$1,078.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $3,114.00 / $6,245.00	Facility		$1,671.00	$3,114.00	$6,245.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.83 / $982.84 / $2,024.49	Professional		$618.83	$982.84	$2,024.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.44 / $1,010.38 / $1,568.15	Professional		$678.44	$1,010.38	$1,568.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,368.65 / $6,887.55 / $26,542.00	Facility		$3,368.65	$6,887.55	$26,542.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,346.41 / $4,569.92 / $4,569.92	Facility	54	$1,346.41	$4,569.92	$4,569.92
Lucent Health Facility/Professional Facility Modifier 55 Low / Median / High Price $288.52 / $979.27 / $979.27	Facility	55	$288.52	$979.27	$979.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,925.00 / $6,925.00 / $6,925.00	Professional		$6,925.00	$6,925.00	$6,925.00
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 $688.59 / $944.46 / $1,638.61	Professional		$688.59	$944.46	$1,638.61