Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.72 / $1,600.20 / $2,797.98	Facility		$281.72	$1,600.20	$2,797.98
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $48.50 / $137.99 / $325.64	Facility	52	$48.50	$137.99	$325.64
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.39 / $55.19 / $130.26	Facility	53	$19.39	$55.19	$130.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $275.97 / $543.91	Professional		$97.14	$275.97	$543.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $192.13 / $339.91	Professional		$85.97	$192.13	$339.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,094.00 / $2,895.00	Facility		$888.00	$2,094.00	$2,895.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $263.64 / $553.54	Professional		$114.06	$263.64	$553.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $633.42 / $1,487.00	Facility		$375.00	$633.42	$1,487.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.59 / $143.59 / $143.59	Facility	52	$143.59	$143.59	$143.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.90 / $35.90 / $35.90	Facility	53	$35.90	$35.90	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $279.27 / $547.37	Professional		$124.30	$279.27	$547.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $599.65 / $611.20	Facility		$55.00	$599.65	$611.20
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $381.48 / $412.53 / $412.53	Facility	52	$381.48	$412.53	$412.53
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $95.37 / $103.13 / $103.13	Facility	53	$95.37	$103.13	$103.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.09 / $2,062.48 / $2,398.94	Professional		$1,072.09	$2,062.48	$2,398.94
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 $268.77 / $391.26 / $657.34	Professional		$268.77	$391.26	$657.34