Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.85 / $1,595.52 / $3,940.00	Facility		$325.85	$1,595.52	$3,940.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.68 / $49.25 / $116.23	Facility	53	$18.68	$49.25	$116.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $222.11 / $424.59	Professional		$91.34	$222.11	$424.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $225.26 / $409.55	Professional		$155.41	$225.26	$409.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,500.00 / $2,330.00	Facility		$764.00	$1,500.00	$2,330.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $236.79 / $444.98	Professional		$108.13	$236.79	$444.98
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 $111.34 / $235.57 / $416.81	Professional		$111.34	$235.57	$416.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $489.68 / $489.68	Facility		$55.00	$489.68	$489.68
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $89.92 / $97.94 / $97.94	Facility	53	$89.92	$97.94	$97.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $953.50 / $1,837.52 / $2,134.42	Professional		$953.50	$1,837.52	$2,134.42
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 $223.29 / $312.36 / $516.84	Professional		$223.29	$312.36	$516.84