Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $1,179.73 / $6,214.00	Facility		$162.66	$1,179.73	$6,214.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.13 / $42.96 / $128.78	Facility	52	$27.13	$42.96	$128.78
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.85 / $17.18 / $51.51	Facility	53	$10.85	$17.18	$51.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $115.50 / $479.00	Professional		$74.15	$115.50	$479.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.13 / $42.96 / $95.21	Professional	52	$27.13	$42.96	$95.21
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $12.48 / $17.18 / $43.97	Professional	53	$12.48	$17.18	$43.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $81.02 / $120.19	Professional		$81.02	$81.02	$120.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $1,329.00 / $2,024.00	Facility		$617.00	$1,329.00	$2,024.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $117.64 / $194.47	Professional		$79.42	$117.64	$194.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $126.10 / $201.61	Professional		$69.86	$126.10	$201.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $303.00 / $303.00	Facility		$55.00	$303.00	$303.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $228.87 / $242.40 / $242.40	Facility	52	$228.87	$242.40	$242.40
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $57.22 / $60.60 / $60.60	Facility	53	$57.22	$60.60	$60.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $452.72 / $719.92 / $845.55	Professional		$452.72	$719.92	$845.55
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $808.00 / $2,577.00	Facility		$294.00	$808.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $143.34 / $204.84	Professional		$92.48	$143.34	$204.84