Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.50 / $1,903.28 / $4,372.53	Facility		$371.50	$1,903.28	$4,372.53
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $80.09 / $189.00 / $532.84	Facility	52	$80.09	$189.00	$532.84
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.03 / $70.58 / $166.57	Facility	53	$32.03	$70.58	$166.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.88 / $314.51 / $651.58	Professional		$171.88	$314.51	$651.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.49 / $236.24 / $472.47	Professional		$157.49	$236.24	$472.47
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 $187.20 / $352.90 / $679.79	Professional		$187.20	$352.90	$679.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $633.42 / $1,992.00	Facility		$455.00	$633.42	$1,992.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.29 / $237.29 / $237.29	Facility	52	$237.29	$237.29	$237.29
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.32 / $59.32 / $59.32	Facility	53	$59.32	$59.32	$59.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.19 / $357.28 / $668.19	Professional		$201.19	$357.28	$668.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,190.22 / $1,222.50 / $16,394.00	Facility		$1,190.22	$1,222.50	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $633.38 / $684.69 / $684.69	Facility	52	$633.38	$684.69	$684.69
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $158.34 / $171.17 / $171.17	Facility	53	$158.34	$171.17	$171.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.00 / $2,720.72 / $3,176.25	Professional		$1,654.00	$2,720.72	$3,176.25
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 $215.26 / $370.03 / $733.56	Professional		$215.26	$370.03	$733.56