Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.00 / $2,408.00 / $6,681.00	Facility		$623.00	$2,408.00	$6,681.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $150.96 / $332.10 / $455.86	Facility	52	$150.96	$332.10	$455.86
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $60.38 / $132.84 / $182.34	Facility	53	$60.38	$132.84	$182.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.20 / $468.59 / $712.51	Professional		$308.20	$468.59	$712.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $337.22 / $444.39 / $510.46	Professional		$337.22	$444.39	$510.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,531.00 / $3,323.00 / $5,737.00	Facility		$1,531.00	$3,323.00	$5,737.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.36 / $457.89 / $748.71	Professional		$316.36	$457.89	$748.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,759.11 / $3,125.00	Facility		$455.00	$1,759.11	$3,125.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.29 / $486.12 / $773.15	Professional		$340.29	$486.12	$773.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,929.30 / $7,929.30	Facility		$55.00	$7,929.30	$7,929.30
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $598.46 / $6,012.68 / $6,012.68	Facility	52	$598.46	$6,012.68	$6,012.68
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $149.61 / $1,503.17 / $1,503.17	Facility	53	$149.61	$1,503.17	$1,503.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,379.76 / $2,445.36 / $2,708.55	Professional		$2,379.76	$2,445.36	$2,708.55
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 $301.11 / $448.88 / $733.06	Professional		$301.11	$448.88	$733.06