Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,290.87 / $3,981.07	Facility		$616.60	$2,290.87	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,071.52	Professional		$316.23	$446.68	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $501.19	Professional		$281.84	$446.68	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,890.45 / $5,888.44	Facility		$1,584.89	$3,890.45	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $776.25	Professional		$338.84	$512.86	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,513.56 / $3,090.30	Facility		$501.19	$1,513.56	$3,090.30
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	22	$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	52	$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	53	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $776.25	Professional		$309.03	$457.09	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility	52	$6,309.57	$6,309.57	$6,309.57
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	53	$1,584.89	$1,584.89	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $2,691.53	Professional		$2,398.83	$2,691.53	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,187.76 / $3,981.07	Facility		$1,023.29	$2,187.76	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $660.69	Professional		$281.84	$416.87	$660.69