Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.90 / $1,064.08 / $3,940.00	Facility		$121.90	$1,064.08	$3,940.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.75 / $61.02 / $143.84	Facility	52	$28.75	$61.02	$143.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $122.32 / $237.89	Professional		$58.66	$122.32	$237.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $135.81 / $135.81	Professional		$65.80	$135.81	$135.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,480.00 / $2,244.00	Facility		$764.00	$1,480.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $133.30 / $237.94	Professional		$67.14	$133.30	$237.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $144.66 / $265.35	Professional		$75.05	$144.66	$265.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $360.40 / $365.45 / $12,000.00	Facility		$360.40	$365.45	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $233.74 / $243.13 / $243.13	Facility	52	$233.74	$243.13	$243.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $568.79 / $1,142.11 / $1,242.38	Professional		$568.79	$1,142.11	$1,242.38
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,560.00 / $2,914.00	Facility		$719.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $181.01 / $295.81	Professional		$121.79	$181.01	$295.81