Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.46 / $2,133.00 / $3,940.00	Facility		$151.46	$2,133.00	$3,940.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.35 / $132.30 / $399.50	Facility	52	$32.35	$132.30	$399.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $12.94 / $39.07 / $124.89	Facility	53	$12.94	$39.07	$124.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $171.31 / $510.50	Professional		$67.84	$171.31	$510.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $97.32 / $114.71	Professional		$51.86	$97.32	$114.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,085.00 / $2,805.00	Facility		$888.00	$2,085.00	$2,805.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $185.32 / $459.19	Professional		$75.61	$185.32	$459.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.00 / $615.91 / $1,487.00	Facility		$340.00	$615.91	$1,487.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $201.44 / $468.31	Professional		$81.00	$201.44	$468.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $411.30 / $462.35 / $12,000.00	Facility		$411.30	$462.35	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $262.79 / $287.27 / $287.27	Facility	52	$262.79	$287.27	$287.27
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $65.70 / $71.81 / $71.81	Facility	53	$65.70	$71.81	$71.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.33 / $2,011.44 / $2,370.00	Professional		$1,049.33	$2,011.44	$2,370.00
United Facility/Professional Facility Modifier Low / Median / High Price $595.00 / $1,438.00 / $2,886.00	Facility		$595.00	$1,438.00	$2,886.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.26 / $282.58 / $565.26	Professional		$184.26	$282.58	$565.26