Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.16 / $2,133.00 / $11,707.28	Facility		$216.16	$2,133.00	$11,707.28
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.72 / $108.08 / $255.07	Facility	52	$41.72	$108.08	$255.07
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.69 / $43.23 / $102.03	Facility	53	$16.69	$43.23	$102.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $209.25 / $420.87	Professional		$88.25	$209.25	$420.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $101.99 / $212.53	Professional		$45.67	$101.99	$212.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,676.00 / $3,611.00 / $5,878.00	Facility		$1,676.00	$3,611.00	$5,878.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $224.47 / $418.69	Professional		$105.71	$224.47	$418.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,282.00 / $12,282.00 / $12,282.00	Facility		$12,282.00	$12,282.00	$12,282.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.55 / $229.07 / $421.00	Professional		$106.55	$229.07	$421.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $471.85 / $485.15 / $12,000.00	Facility		$471.85	$485.15	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $301.54 / $319.13 / $319.13	Facility	52	$301.54	$319.13	$319.13
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $75.39 / $79.78 / $79.78	Facility	53	$75.39	$79.78	$79.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.00 / $1,989.58 / $1,989.58	Professional		$1,374.00	$1,989.58	$1,989.58
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,560.00 / $19,000.00	Facility		$719.00	$1,560.00	$19,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $327.17 / $509.87	Professional		$219.42	$327.17	$509.87