Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.13 / $1,754.65 / $3,513.34	Facility		$457.13	$1,754.65	$3,513.34
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $174.09 / $460.95 / $1,305.81	Facility	52	$174.09	$460.95	$1,305.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.10 / $101.43 / $197.79	Facility	53	$46.10	$101.43	$197.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.60 / $466.21 / $984.81	Professional		$248.60	$466.21	$984.81
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $48.74 / $84.58 / $130.08	Professional	53	$48.74	$84.58	$130.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $283.33 / $439.01	Professional		$210.75	$283.33	$439.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $2,090.00 / $2,895.00	Facility		$945.00	$2,090.00	$2,895.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $479.85 / $851.19	Professional		$271.45	$479.85	$851.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $765.84 / $1,992.00	Facility		$426.66	$765.84	$1,992.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.83 / $503.21 / $873.04	Professional		$295.83	$503.21	$873.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,425.30 / $1,462.80 / $16,394.00	Facility		$1,425.30	$1,462.80	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $909.50 / $982.11 / $982.11	Facility	52	$909.50	$982.11	$982.11
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $227.37 / $245.53 / $245.53	Facility	53	$227.37	$245.53	$245.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.00 / $3,439.23 / $3,762.00	Professional		$1,906.00	$3,439.23	$3,762.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,031.00 / $4,099.00	Facility		$1,000.00	$2,031.00	$4,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.10 / $610.25 / $1,024.49	Professional		$399.10	$610.25	$1,024.49