Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.00 / $3,939.75 / $7,602.00	Facility		$1,322.00	$3,939.75	$7,602.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $597.35 / $896.02 / $1,904.88	Facility	54	$597.35	$896.02	$1,904.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.46 / $1,067.26 / $1,278.19	Professional		$796.46	$1,067.26	$1,278.19
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $119.47 / $160.09 / $179.20	Professional	55	$119.47	$160.09	$179.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,562.00 / $4,657.00 / $7,950.00	Facility		$2,562.00	$4,657.00	$7,950.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.07 / $1,083.19 / $2,309.73	Professional		$704.07	$1,083.19	$2,309.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.85 / $1,056.10 / $1,711.79	Professional		$744.85	$1,056.10	$1,711.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,343.05 / $21,343.05	Facility		$55.00	$21,343.05	$21,343.05
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,545.59 / $14,161.14 / $14,161.14	Facility	54	$1,545.59	$14,161.14	$14,161.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,188.96 / $6,370.48 / $6,982.88	Professional		$6,188.96	$6,370.48	$6,982.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,905.00 / $6,073.00 / $10,287.00	Facility		$2,905.00	$6,073.00	$10,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.41 / $1,057.53 / $1,780.02	Professional		$786.41	$1,057.53	$1,780.02