Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.90 / $4,361.00 / $6,826.21	Facility		$1,737.90	$4,361.00	$6,826.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,865.33 / $4,865.33 / $4,865.33	Facility	50	$4,865.33	$4,865.33	$4,865.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $101.85 / $152.78 / $324.80	Facility	53	$101.85	$152.78	$324.80
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $381.95 / $572.92 / $1,218.00	Facility	54	$381.95	$572.92	$1,218.00
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $76.39 / $114.59 / $243.60	Facility	55	$76.39	$114.59	$243.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.27 / $728.25 / $1,201.88	Professional		$509.27	$728.25	$1,201.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $254.64 / $341.21 / $407.14	Professional	52	$254.64	$341.21	$407.14
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $381.95 / $528.73 / $610.70	Professional	54	$381.95	$528.73	$610.70
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $76.39 / $102.36 / $122.14	Professional	55	$76.39	$102.36	$122.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $410.93 / $485.95 / $770.97	Professional		$410.93	$485.95	$770.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,662.00 / $3,089.00 / $6,245.00	Facility		$1,662.00	$3,089.00	$6,245.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.19 / $698.43 / $1,476.88	Professional		$450.19	$698.43	$1,476.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.98 / $765.80 / $1,260.91	Professional		$523.98	$765.80	$1,260.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,459.19 / $6,887.55 / $26,542.00	Facility		$2,459.19	$6,887.55	$26,542.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $281.10 / $1,305.69 / $1,305.69	Facility	53	$281.10	$1,305.69	$1,305.69
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $983.84 / $4,569.92 / $4,569.92	Facility	54	$983.84	$4,569.92	$4,569.92
Lucent Health Facility/Professional Facility Modifier 55 Low / Median / High Price $210.82 / $979.27 / $979.27	Facility	55	$210.82	$979.27	$979.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,762.00 / $6,076.05 / $6,276.56	Professional		$5,762.00	$6,076.05	$6,276.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $3,599.00 / $7,035.00	Facility		$2,225.00	$3,599.00	$7,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.08 / $727.03 / $1,178.96	Professional		$509.08	$727.03	$1,178.96