Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,168.69 / $6,456.54	Facility		$1,621.81	$4,168.69	$6,456.54
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	22	$2,884.03	$2,884.03	$2,884.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility	50	$4,897.79	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $691.83 / $1,348.96	Professional		$323.59	$691.83	$1,348.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $776.25 / $776.25 / $776.25	Professional	50	$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $190.55 / $645.65 / $1,348.96	Professional	54	$190.55	$645.65	$1,348.96
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $48.98 / $245.47 / $1,047.13	Professional	55	$48.98	$245.47	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $794.33	Professional		$316.23	$489.78	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $6,025.60	Facility		$1,698.24	$3,235.94	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,288.25	Professional		$512.86	$794.33	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,230.27	Professional		$524.81	$776.25	$1,230.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $33,884.42	Facility		$6,918.31	$6,918.31	$33,884.42
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	53	$1,380.38	$1,380.38	$1,380.38
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility	54	$4,786.30	$4,786.30	$4,786.30
Lucent Health Facility/Professional Facility Modifier 55 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	55	$1,023.29	$1,023.29	$1,023.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $6,309.57	Professional		$5,754.40	$5,754.40	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $6,309.57	Facility		$1,819.70	$3,630.78	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,122.02	Professional		$501.19	$724.44	$1,122.02