Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $1,517.00 / $6,681.00	Facility		$164.42	$1,517.00	$6,681.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.37 / $82.21 / $249.96	Facility	52	$29.37	$82.21	$249.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $185.02 / $716.00	Professional		$62.27	$185.02	$716.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.37 / $85.67 / $134.88	Professional	52	$29.37	$85.67	$134.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $350.14 / $350.14 / $350.14	Professional		$350.14	$350.14	$350.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,487.00 / $2,257.00	Facility		$764.00	$1,487.00	$2,257.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $171.70 / $366.10	Professional		$64.95	$171.70	$366.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $169.85 / $327.48	Professional		$68.42	$169.85	$327.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $438.42 / $451.14	Facility		$55.00	$438.42	$451.14
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $233.74 / $252.78 / $252.78	Facility	52	$233.74	$252.78	$252.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $927.00 / $1,361.68 / $1,601.63	Professional		$927.00	$1,361.68	$1,601.63
United Facility/Professional Facility Modifier Low / Median / High Price $277.00 / $794.00 / $2,577.00	Facility		$277.00	$794.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $283.88 / $415.79	Professional		$179.67	$283.88	$415.79