Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.86 / $896.00 / $4,106.99	Facility		$124.86	$896.00	$4,106.99
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $344.94 / $502.28 / $1,334.31	Facility	50	$344.94	$502.28	$1,334.31
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $20.37 / $44.30 / $66.89	Facility	52	$20.37	$44.30	$66.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $64.73 / $160.03	Professional		$41.90	$64.73	$160.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.08 / $132.00 / $394.50	Professional	50	$76.08	$132.00	$394.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $74.98 / $107.26	Professional		$53.56	$74.98	$107.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $95.61 / $121.76 / $160.88	Professional	50	$95.61	$121.76	$160.88
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 $49.56 / $74.31 / $111.49	Professional		$49.56	$74.31	$111.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $77.04 / $119.68	Professional		$52.87	$77.04	$119.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $205.87 / $220.97 / $15,000.00	Facility		$205.87	$220.97	$15,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $164.70 / $176.78 / $176.78	Facility	52	$164.70	$176.78	$176.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.76 / $468.88 / $550.50	Professional		$325.76	$468.88	$550.50
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $808.00 / $2,577.00	Facility		$294.00	$808.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $79.77 / $139.04	Professional		$55.58	$79.77	$139.04
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $80.00 / $85.00	Professional	50	$80.00	$80.00	$85.00