Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.00 / $1,892.00 / $4,423.50	Facility		$606.00	$1,892.00	$4,423.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.03 / $214.82 / $607.82	Facility	52	$91.03	$214.82	$607.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.40 / $85.93 / $243.13	Facility	53	$36.40	$85.93	$243.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.54 / $429.79 / $950.04	Professional		$198.54	$429.79	$950.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.69 / $205.48 / $425.62	Professional	52	$97.69	$205.48	$425.62
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.28 / $80.51 / $124.96	Professional	53	$38.28	$80.51	$124.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.27 / $251.10 / $434.91	Professional		$174.27	$251.10	$434.91
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $44.62 / $87.13 / $110.77	Professional	52	$44.62	$87.13	$110.77
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $163.82 / $163.82 / $163.82	Professional	53	$163.82	$163.82	$163.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $2,060.00 / $2,838.00	Facility		$864.00	$2,060.00	$2,838.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.38 / $427.72 / $787.82	Professional		$214.38	$427.72	$787.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $796.48 / $1,992.00	Facility		$455.00	$796.48	$1,992.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.55 / $459.24 / $787.93	Professional		$238.55	$459.24	$787.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,129.75 / $1,156.15 / $16,394.00	Facility		$1,129.75	$1,156.15	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $721.81 / $779.08 / $779.08	Facility	52	$721.81	$779.08	$779.08
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $180.45 / $194.77 / $194.77	Facility	53	$180.45	$194.77	$194.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.05 / $3,135.42 / $3,595.05	Professional		$1,623.05	$3,135.42	$3,595.05
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 $380.86 / $547.21 / $909.99	Professional		$380.86	$547.21	$909.99