Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.25 / $2,006.00 / $4,692.58	Facility		$452.25	$2,006.00	$4,692.58
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $62.64 / $174.24 / $526.16	Facility	52	$62.64	$174.24	$526.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.06 / $69.70 / $164.48	Facility	53	$25.06	$69.70	$164.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $305.25 / $815.84	Professional		$125.28	$305.25	$815.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $148.28 / $327.93	Professional		$80.31	$148.28	$327.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,085.00 / $2,895.00	Facility		$888.00	$2,085.00	$2,895.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $330.17 / $641.72	Professional		$146.86	$330.17	$641.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $632.00 / $1,992.00	Facility		$300.00	$632.00	$1,992.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.89 / $355.86 / $647.26	Professional		$163.89	$355.86	$647.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $934.14 / $960.78 / $16,394.00	Facility		$934.14	$960.78	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $496.53 / $539.10 / $539.10	Facility	52	$496.53	$539.10	$539.10
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $124.13 / $134.78 / $134.78	Facility	53	$124.13	$134.78	$134.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.00 / $2,649.44 / $3,098.78	Professional		$1,406.00	$2,649.44	$3,098.78
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 $309.86 / $460.36 / $772.65	Professional		$309.86	$460.36	$772.65