Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.00 / $2,304.00 / $4,533.99	Facility		$743.00	$2,304.00	$4,533.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.12 / $87.71 / $297.14	Facility	53	$26.12	$87.71	$297.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $442.39 / $878.62	Professional		$156.12	$442.39	$878.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.76 / $205.81 / $260.20	Professional		$187.76	$205.81	$260.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.00 / $2,181.00 / $2,948.00	Facility		$1,417.00	$2,181.00	$2,948.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $434.93 / $1,092.08	Professional		$176.21	$434.93	$1,092.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.63 / $520.39 / $1,125.65	Professional		$204.63	$520.39	$1,125.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $781.85 / $896.55	Facility		$55.00	$781.85	$896.55
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $145.93 / $156.37 / $156.37	Facility	53	$145.93	$156.37	$156.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.49 / $3,502.96 / $4,077.23	Professional		$1,820.49	$3,502.96	$4,077.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $2,298.00 / $4,326.00	Facility		$1,130.00	$2,298.00	$4,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $869.70 / $1,283.73	Professional		$569.09	$869.70	$1,283.73