Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.19 / $2,633.58 / $6,446.00	Facility		$448.19	$2,633.58	$6,446.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $101.87 / $307.61 / $809.10	Facility	52	$101.87	$307.61	$809.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $647.96 / $1,183.65	Professional		$216.81	$647.96	$1,183.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.39 / $345.51 / $399.25	Professional		$251.39	$345.51	$399.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,319.00 / $2,687.00 / $3,591.00	Facility		$1,319.00	$2,687.00	$3,591.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $592.07 / $1,345.88	Professional		$244.09	$592.07	$1,345.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,443.61 / $3,203.00	Facility		$455.00	$1,443.61	$3,203.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $302.02 / $302.02	Facility	52	$302.02	$302.02	$302.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.85 / $625.00 / $1,270.46	Professional		$261.85	$625.00	$1,270.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,514.10 / $1,514.10 / $3,598.00	Facility		$1,514.10	$1,514.10	$3,598.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $805.34 / $870.09 / $870.09	Facility	52	$805.34	$870.09	$870.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,647.15 / $5,068.16 / $5,941.05	Professional		$2,647.15	$5,068.16	$5,941.05
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 $627.27 / $925.80 / $1,628.62	Professional		$627.27	$925.80	$1,628.62