Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,548.82 / $3,981.07	Facility		$389.05	$1,548.82	$3,981.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	50	$2,089.30	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $645.65	Professional		$102.33	$245.47	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $346.74	Professional		$81.28	$120.23	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $2,137.96	Facility		$691.83	$1,513.56	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $309.03 / $870.96	Professional		$131.83	$309.03	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $831.76	Professional		$138.04	$269.15	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $1,905.46 / $1,905.46	Facility		$54.95	$1,905.46	$1,905.46
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	52	$1,513.56	$1,513.56	$1,513.56
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	53	$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,445.44 / $2,884.03	Facility		$741.31	$1,445.44	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $275.42 / $851.14	Professional		$109.65	$275.42	$851.14