Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,165.95 / $14,454.40	Facility		$2,454.71	$6,165.95	$14,454.40
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,888.44 / $5,888.44 / $54,954.09	Facility	22	$5,888.44	$5,888.44	$54,954.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $2,818.38	Professional		$630.96	$977.24	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,071.52	Professional		$562.34	$724.44	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,760.83 / $11,220.18	Facility		$2,691.53	$6,760.83	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,513.56	Professional		$660.69	$1,000.00	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,090.30 / $6,165.95	Facility		$501.19	$3,090.30	$6,165.95
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	22	$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	52	$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	53	$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	AS	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,445.44	Professional		$630.96	$912.01	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $16,218.10 / $16,218.10	Facility		$7,585.78	$16,218.10	$16,218.10
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility	52	$12,882.50	$12,882.50	$12,882.50
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility	53	$3,235.94	$3,235.94	$3,235.94
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AS	$1,621.81	$1,621.81	$1,621.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,754.40 / $5,754.40	Professional		$5,011.87	$5,754.40	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,413.10 / $12,022.64	Facility		$3,019.95	$7,413.10	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,288.25	Professional		$575.44	$794.33	$1,288.25