Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,584.89 / $2,691.53	Facility		$467.74	$1,584.89	$2,691.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $2,398.83 / $5,011.87	Facility	50	$831.76	$2,398.83	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $229.09 / $630.96	Professional		$104.71	$229.09	$630.96
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.25 / $812.83 / $1,230.27	Professional	22	$141.25	$812.83	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $354.81 / $1,174.90	Professional	50	$154.88	$354.81	$1,174.90
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $63.10 / $63.10 / $125.89	Professional	53	$63.10	$63.10	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $363.08	Professional		$102.33	$199.53	$363.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $338.84 / $537.03	Professional	50	$158.49	$338.84	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $2,137.96	Facility		$724.44	$1,513.56	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $489.78	Professional		$134.90	$263.03	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $426.58	Professional		$117.49	$229.09	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $32,359.37	Facility		$2,691.53	$2,691.53	$32,359.37
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	53	$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,445.44 / $2,884.03	Facility		$741.31	$1,445.44	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $436.52	Professional		$104.71	$208.93	$436.52