Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.00 / $1,754.65 / $4,975.20	Facility		$452.00	$1,754.65	$4,975.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $55.44 / $135.52 / $319.83	Facility	52	$55.44	$135.52	$319.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.18 / $54.21 / $163.69	Facility	53	$22.18	$54.21	$163.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.62 / $263.69 / $627.75	Professional		$116.62	$263.69	$627.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $145.82 / $203.85	Professional		$87.03	$145.82	$203.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,060.00 / $2,805.00	Facility		$888.00	$2,060.00	$2,805.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $268.77 / $522.30	Professional		$132.82	$268.77	$522.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $609.07 / $1,487.00	Facility		$300.00	$609.07	$1,487.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $289.57 / $517.78	Professional		$145.15	$289.57	$517.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $830.82 / $850.80 / $12,000.00	Facility		$830.82	$850.80	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $442.02 / $479.90 / $479.90	Facility	52	$442.02	$479.90	$479.90
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $110.50 / $119.98 / $119.98	Facility	53	$110.50	$119.98	$119.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.00 / $2,049.19 / $2,396.63	Professional		$1,213.00	$2,049.19	$2,396.63
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 $245.64 / $366.92 / $595.77	Professional		$245.64	$366.92	$595.77