Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.37 / $1,722.16 / $6,214.00	Facility		$412.37	$1,722.16	$6,214.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.51 / $322.33 / $760.71	Facility	52	$117.51	$322.33	$760.71
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.00 / $128.93 / $304.27	Facility	53	$47.00	$128.93	$304.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.65 / $563.69 / $1,000.58	Professional		$255.65	$563.69	$1,000.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $300.64 / $563.04	Professional		$105.11	$300.64	$563.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,090.00 / $2,895.00	Facility		$888.00	$2,090.00	$2,895.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $638.83 / $1,308.24	Professional		$281.52	$638.83	$1,308.24
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 $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.99 / $620.49 / $1,214.00	Professional		$303.99	$620.49	$1,214.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,452.35 / $1,489.15 / $16,394.00	Facility		$1,452.35	$1,489.15	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $926.46 / $1,001.00 / $1,001.00	Facility	52	$926.46	$1,001.00	$1,001.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $231.61 / $250.25 / $250.25	Facility	53	$231.61	$250.25	$250.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,437.02 / $4,654.56 / $5,434.43	Professional		$2,437.02	$4,654.56	$5,434.43
United Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,257.00 / $4,099.00	Facility		$875.00	$2,257.00	$4,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.12 / $838.84 / $1,457.04	Professional		$585.12	$838.84	$1,457.04