Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.58 / $1,821.00 / $6,681.00	Facility		$236.58	$1,821.00	$6,681.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $39.26 / $118.29 / $279.16	Facility	52	$39.26	$118.29	$279.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.70 / $47.32 / $111.67	Facility	53	$15.70	$47.32	$111.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $192.56 / $367.19	Professional		$85.28	$192.56	$367.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $78.26 / $163.34	Professional		$78.26	$78.26	$163.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $2,083.00 / $2,805.00	Facility		$945.00	$2,083.00	$2,805.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $207.75 / $418.12	Professional		$93.30	$207.75	$418.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.00 / $633.42 / $1,487.00	Facility		$340.00	$633.42	$1,487.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	52	$118.08	$118.08	$118.08
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $29.52 / $29.52	Facility	53	$29.52	$29.52	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $233.40 / $436.45	Professional		$103.95	$233.40	$436.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $595.14 / $611.94 / $12,000.00	Facility		$595.14	$611.94	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $342.02 / $344.97 / $344.97	Facility	52	$342.02	$344.97	$344.97
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $85.51 / $86.24 / $86.24	Facility	53	$85.51	$86.24	$86.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.00 / $1,863.52 / $2,193.75	Professional		$1,213.00	$1,863.52	$2,193.75
United Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,257.00 / $4,099.00	Facility		$875.00	$2,257.00	$4,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.18 / $305.89 / $498.86	Professional		$205.18	$305.89	$498.86