Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.50 / $1,617.03 / $4,069.00	Facility		$400.50	$1,617.03	$4,069.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.03 / $202.93 / $478.90	Facility	52	$91.03	$202.93	$478.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.40 / $81.17 / $191.56	Facility	53	$36.40	$81.17	$191.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.51 / $405.85 / $751.70	Professional		$195.51	$405.85	$751.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $109.45 / $211.99	Professional		$81.61	$109.45	$211.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,094.00 / $2,906.00	Facility		$888.00	$2,094.00	$2,906.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $419.08 / $786.47	Professional		$217.71	$419.08	$786.47
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 $236.35 / $447.14 / $777.59	Professional		$236.35	$447.14	$777.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,129.75 / $1,129.75 / $16,394.00	Facility		$1,129.75	$1,129.75	$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 $1,794.00 / $3,137.04 / $3,665.78	Professional		$1,794.00	$3,137.04	$3,665.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,049.00 / $2,115.00 / $4,099.00	Facility		$1,049.00	$2,115.00	$4,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.03 / $555.37 / $916.48	Professional		$378.03	$555.37	$916.48