Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.01 / $1,752.30 / $3,226.32	Facility		$640.01	$1,752.30	$3,226.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.61 / $253.14 / $1,111.68	Facility	52	$126.61	$253.14	$1,111.68
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.76 / $155.59 / $342.99	Facility	53	$73.76	$155.59	$342.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $353.91 / $838.29	Professional		$183.76	$353.91	$838.29
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $44.98 / $104.88 / $233.93	Professional	53	$44.98	$104.88	$233.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.89 / $217.58 / $444.40	Professional		$164.89	$217.58	$444.40
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $47.54 / $108.99 / $171.48	Professional	53	$47.54	$108.99	$171.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,085.00 / $2,895.00	Facility		$888.00	$2,085.00	$2,895.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $348.99 / $624.27	Professional		$195.60	$348.99	$624.27
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $91.52 / $169.24 / $298.47	Professional	53	$91.52	$169.24	$298.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.83 / $615.91 / $1,992.00	Facility		$310.83	$615.91	$1,992.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $248.66 / $248.66 / $248.66	Facility	52	$248.66	$248.66	$248.66
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.17 / $62.17 / $62.17	Facility	53	$62.17	$62.17	$62.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $372.13 / $646.79	Professional		$217.30	$372.13	$646.79
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $86.21 / $177.15 / $336.15	Professional	53	$86.21	$177.15	$336.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,038.84 / $1,063.59 / $16,394.00	Facility		$1,038.84	$1,063.59	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $663.66 / $716.72 / $716.72	Facility	52	$663.66	$716.72	$716.72
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $165.92 / $179.18 / $179.18	Facility	53	$165.92	$179.18	$179.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.00 / $2,761.67 / $2,852.81	Professional		$1,345.00	$2,761.67	$2,852.81
United Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,115.00 / $4,099.00	Facility		$875.00	$2,115.00	$4,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.97 / $444.15 / $724.20	Professional		$288.97	$444.15	$724.20
United Facility/Professional Professional Modifier 53 Low / Median / High Price $120.27 / $120.27 / $169.46	Professional	53	$120.27	$120.27	$169.46