Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.00 / $2,311.00 / $7,602.00	Facility		$623.00	$2,311.00	$7,602.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $189.27 / $411.69 / $564.24	Facility	52	$189.27	$411.69	$564.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.55 / $435.29 / $699.30	Professional		$374.55	$435.29	$699.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.85 / $422.90 / $607.79	Professional		$189.85	$422.90	$607.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,917.00 / $3,611.00 / $5,959.00	Facility		$1,917.00	$3,611.00	$5,959.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.50 / $580.15 / $911.85	Professional		$421.50	$580.15	$911.85
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 $446.91 / $615.01 / $929.46	Professional		$446.91	$615.01	$929.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,567.08 / $8,957.00 / $16,394.00	Facility		$1,567.08	$8,957.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $870.38 / $6,791.96 / $6,791.96	Facility	52	$870.38	$6,791.96	$6,791.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $108.80 / $849.00 / $849.00	Facility	AS	$108.80	$849.00	$849.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,259.28 / $3,366.84 / $3,564.15	Professional		$3,259.28	$3,366.84	$3,564.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,626.00 / $6,291.00	Facility		$1,794.00	$3,626.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.99 / $529.84 / $920.88	Professional		$385.99	$529.84	$920.88