Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.57 / $1,367.00 / $4,013.79	Facility		$286.57	$1,367.00	$4,013.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,095.61 / $2,095.61 / $2,095.61	Facility	50	$2,095.61	$2,095.61	$2,095.61
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.93 / $145.35 / $418.11	Facility	52	$51.93	$145.35	$418.11
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.77 / $58.14 / $167.25	Facility	53	$20.77	$58.14	$167.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $286.58 / $664.86	Professional		$99.63	$286.58	$664.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $132.68 / $235.81	Professional		$76.02	$132.68	$235.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,483.00 / $2,244.00	Facility		$764.00	$1,483.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $272.55 / $811.10	Professional		$114.65	$272.55	$811.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $284.14 / $777.96	Professional		$137.29	$284.14	$777.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $611.65 / $627.00	Facility		$55.00	$611.65	$627.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $388.74 / $415.68 / $415.68	Facility	52	$388.74	$415.68	$415.68
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $97.18 / $103.92 / $103.92	Facility	53	$97.18	$103.92	$103.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,853.05 / $2,804.09 / $2,888.22	Professional		$1,853.05	$2,804.09	$2,888.22
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,560.00 / $2,914.00	Facility		$719.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.31 / $555.30 / $1,005.97	Professional		$296.31	$555.30	$1,005.97