Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.58 / $2,133.00 / $7,602.00	Facility		$210.58	$2,133.00	$7,602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $114.72 / $230.67	Professional		$69.73	$114.72	$230.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.49 / $51.37 / $75.81	Professional	52	$32.49	$51.37	$75.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $135.00 / $148.03	Professional		$110.00	$135.00	$148.03
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $27.53 / $27.53 / $27.53	Professional	52	$27.53	$27.53	$27.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,065.00	Facility		$649.00	$1,364.00	$2,065.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $123.80 / $199.04	Professional		$78.68	$123.80	$199.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $122.78 / $245.57	Professional		$80.17	$122.78	$245.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $437.43 / $437.43	Facility		$55.00	$437.43	$437.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.64 / $960.24 / $1,116.75	Professional		$616.64	$960.24	$1,116.75
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $794.00 / $2,577.00	Facility		$294.00	$794.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $141.19 / $257.82	Professional		$114.11	$141.19	$257.82