Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.02 / $1,283.86 / $2,914.20	Facility		$389.02	$1,283.86	$2,914.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.54 / $517.42 / $1,221.14	Facility	52	$69.54	$517.42	$1,221.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.81 / $83.99 / $488.45	Facility	53	$27.81	$83.99	$488.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $305.94 / $1,606.19	Professional		$146.97	$305.94	$1,606.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $205.47 / $284.26	Professional		$124.65	$205.47	$284.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,319.00 / $2,687.00 / $3,620.00	Facility		$1,319.00	$2,687.00	$3,620.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $367.02 / $1,948.43	Professional		$162.24	$367.02	$1,948.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,087.39 / $1,992.00	Facility		$455.00	$1,087.39	$1,992.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $206.22 / $206.22 / $206.22	Facility	52	$206.22	$206.22	$206.22
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.55 / $51.55 / $51.55	Facility	53	$51.55	$51.55	$51.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.49 / $338.58 / $1,839.56	Professional		$170.49	$338.58	$1,839.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.78 / $1,063.56 / $16,394.00	Facility		$1,035.78	$1,063.56	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $551.04 / $596.83 / $596.83	Facility	52	$551.04	$596.83	$596.83
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $137.76 / $149.21 / $149.21	Facility	53	$137.76	$149.21	$149.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,836.03 / $7,375.25 / $8,642.10	Professional		$3,836.03	$7,375.25	$8,642.10
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 $195.72 / $1,086.96 / $2,173.11	Professional		$195.72	$1,086.96	$2,173.11