Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $1,569.95 / $3,752.06	Facility		$416.00	$1,569.95	$3,752.06
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.28 / $188.53 / $444.92	Facility	52	$75.28	$188.53	$444.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.72 / $305.43 / $740.35	Professional		$153.72	$305.43	$740.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $222.42 / $307.76	Professional		$85.26	$222.42	$307.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,085.00 / $2,906.00	Facility		$888.00	$2,085.00	$2,906.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.65 / $349.90 / $681.05	Professional		$175.65	$349.90	$681.05
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 $223.11 / $223.11 / $223.11	Facility	52	$223.11	$223.11	$223.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.46 / $350.94 / $680.83	Professional		$188.46	$350.94	$680.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.56 / $1,150.80 / $16,394.00	Facility		$1,120.56	$1,150.80	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $595.82 / $645.39 / $645.39	Facility	52	$595.82	$645.39	$645.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.93 / $2,916.88 / $3,408.38	Professional		$1,528.93	$2,916.88	$3,408.38
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 $212.59 / $382.44 / $767.84	Professional		$212.59	$382.44	$767.84