Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,939.75 / $7,602.00	Facility		$1,300.00	$3,939.75	$7,602.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $634.04 / $951.08 / $2,021.93	Facility	54	$634.04	$951.08	$2,021.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.64 / $1,015.14 / $1,350.42	Professional		$782.64	$1,015.14	$1,350.42
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $126.81 / $169.93 / $190.22	Professional	55	$126.81	$169.93	$190.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $804.95 / $804.95 / $804.95	Professional		$804.95	$804.95	$804.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,662.00 / $3,026.00 / $4,727.00	Facility		$1,662.00	$3,026.00	$4,727.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.64 / $1,101.90 / $2,451.66	Professional		$778.64	$1,101.90	$2,451.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.12 / $1,070.64 / $1,791.51	Professional		$774.12	$1,070.64	$1,791.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,074.35 / $6,887.55 / $26,542.00	Facility		$4,074.35	$6,887.55	$26,542.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,628.84 / $4,569.92 / $4,569.92	Facility	54	$1,628.84	$4,569.92	$4,569.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,516.24 / $6,715.76 / $7,369.65	Professional		$6,516.24	$6,715.76	$7,369.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $3,626.00 / $6,291.00	Facility		$1,750.00	$3,626.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $830.11 / $1,017.87 / $1,769.15	Professional		$830.11	$1,017.87	$1,769.15