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 53 Low / Median / High Price $126.95 / $190.42 / $404.83	Facility	53	$126.95	$190.42	$404.83
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $476.06 / $714.08 / $1,518.10	Facility	54	$476.06	$714.08	$1,518.10
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $95.21 / $142.82 / $303.62	Facility	55	$95.21	$142.82	$303.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.66 / $762.19 / $1,022.24	Professional		$609.66	$762.19	$1,022.24
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $95.21 / $128.55 / $153.34	Professional	55	$95.21	$128.55	$153.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $611.30 / $611.30 / $611.30	Professional		$611.30	$611.30	$611.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,562.00 / $4,657.00 / $7,538.00	Facility		$2,562.00	$4,657.00	$7,538.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.11 / $862.90 / $1,840.75	Professional		$561.11	$862.90	$1,840.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.65 / $841.67 / $1,365.20	Professional		$593.65	$841.67	$1,365.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,325.00 / $21,325.00	Facility		$55.00	$21,325.00	$21,325.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $353.55 / $4,042.62 / $4,042.62	Facility	53	$353.55	$4,042.62	$4,042.62
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,237.43 / $14,149.17 / $14,149.17	Facility	54	$1,237.43	$14,149.17	$14,149.17
Lucent Health Facility/Professional Facility Modifier 55 Low / Median / High Price $265.16 / $3,031.96 / $3,031.96	Facility	55	$265.16	$3,031.96	$3,031.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,949.35 / $5,089.60 / $5,600.48	Professional		$4,949.35	$5,089.60	$5,600.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,372.00 / $6,090.00 / $12,183.00	Facility		$3,372.00	$6,090.00	$12,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.32 / $826.15 / $1,398.28	Professional		$609.32	$826.15	$1,398.28