Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.93 / $1,133.90 / $3,626.10	Facility		$117.93	$1,133.90	$3,626.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $24.99 / $84.45 / $255.01	Facility	52	$24.99	$84.45	$255.01
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.99 / $30.18 / $79.72	Facility	53	$9.99	$30.18	$79.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $137.25 / $351.85	Professional		$54.35	$137.25	$351.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $68.73 / $117.09	Professional		$38.18	$68.73	$117.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $2,083.00 / $2,805.00	Facility		$710.00	$2,083.00	$2,805.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $139.74 / $296.79	Professional		$60.08	$139.74	$296.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.03 / $337.01 / $1,487.00	Facility		$180.03	$337.01	$1,487.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $159.83 / $315.41	Professional		$65.50	$159.83	$315.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $343.59 / $11,500.00	Facility		$323.70	$343.59	$11,500.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $207.08 / $227.20 / $227.20	Facility	52	$207.08	$227.20	$227.20
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $51.77 / $56.80 / $56.80	Facility	53	$51.77	$56.80	$56.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $697.67 / $1,331.20 / $1,570.43	Professional		$697.67	$1,331.20	$1,570.43
United Facility/Professional Facility Modifier Low / Median / High Price $595.00 / $1,401.00 / $2,886.00	Facility		$595.00	$1,401.00	$2,886.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $191.41 / $359.63	Professional		$138.38	$191.41	$359.63