Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,737.80 / $3,467.37	Facility		$616.60	$1,737.80	$3,467.37
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	52	$371.54	$371.54	$371.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $83.18 / $154.88 / $2,398.83	Facility	53	$83.18	$154.88	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $1,096.48	Professional		$181.97	$380.19	$1,096.48
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $83.18 / $154.88 / $288.40	Professional	53	$83.18	$154.88	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $316.23	Professional		$154.88	$199.53	$316.23
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $44.67 / $87.10 / $131.83	Professional	53	$44.67	$87.10	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,137.96 / $3,019.95	Facility		$954.99	$2,137.96	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $660.69	Professional		$218.78	$371.54	$660.69
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $97.72 / $177.83 / $316.23	Professional	53	$97.72	$177.83	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $537.03 / $1,047.13	Facility		$309.03	$537.03	$1,047.13
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	22	$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	52	$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	53	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $630.96	Professional		$204.17	$363.08	$630.96
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $87.10 / $177.83 / $338.84	Professional	53	$87.10	$177.83	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $28,840.32	Facility		$2,754.23	$2,754.23	$28,840.32
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	53	$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,884.03	Professional		$2,818.38	$2,818.38	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,905.46 / $3,981.07	Facility		$870.96	$1,905.46	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $588.84	Professional		$177.83	$323.59	$588.84
United Facility/Professional Professional Modifier 53 Low / Median / High Price $120.23 / $169.82 / $218.78	Professional	53	$120.23	$169.82	$218.78