Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.35 / $1,285.44 / $6,681.00	Facility		$188.35	$1,285.44	$6,681.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.96 / $36.97 / $87.27	Facility	53	$15.96	$36.97	$87.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $174.79 / $270.79	Professional		$79.81	$174.79	$270.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $144.13 / $151.02	Professional		$79.18	$144.13	$151.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $148.00 / $1,676.00	Facility		$110.00	$148.00	$1,676.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $199.02 / $364.16	Professional		$103.32	$199.02	$364.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.89 / $140.54 / $221.78	Facility		$100.89	$140.54	$221.78
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.11 / $28.11 / $28.11	Facility	53	$28.11	$28.11	$28.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $179.14 / $368.61	Professional		$88.36	$179.14	$368.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $404.80 / $580.01	Facility		$55.00	$404.80	$580.01
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $74.79 / $80.95 / $80.95	Facility	53	$74.79	$80.95	$80.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.00 / $1,537.05 / $1,604.71	Professional		$1,088.00	$1,537.05	$1,604.71
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $814.00 / $2,495.00	Facility		$296.00	$814.00	$2,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $285.24 / $422.32	Professional		$186.43	$285.24	$422.32