Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.28 / $1,939.00 / $6,224.12	Facility		$219.28	$1,939.00	$6,224.12
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.24 / $114.31 / $319.94	Facility	52	$61.24	$114.31	$319.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $228.62 / $535.15	Professional		$122.47	$228.62	$535.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.36 / $177.36 / $254.79	Professional		$177.36	$177.36	$254.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,138.00 / $2,849.00	Facility		$1,275.00	$2,138.00	$2,849.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.49 / $243.33 / $447.39	Professional		$137.49	$243.33	$447.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $261.14 / $491.79	Professional		$139.66	$261.14	$491.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,037.05 / $1,065.96 / $12,000.00	Facility		$1,037.05	$1,065.96	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $472.30 / $507.15 / $507.15	Facility	52	$472.30	$507.15	$507.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.00 / $1,812.48 / $2,099.69	Professional		$1,212.00	$1,812.48	$2,099.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,128.00 / $2,297.00 / $4,326.00	Facility		$1,128.00	$2,297.00	$4,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.67 / $377.02 / $599.59	Professional		$228.67	$377.02	$599.59