Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.62 / $1,791.00 / $2,719.00	Facility		$434.62	$1,791.00	$2,719.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.00 / $2,395.44 / $2,925.90	Facility	50	$831.00	$2,395.44	$2,925.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.98 / $46.12 / $108.84	Facility	53	$20.98	$46.12	$108.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $219.71 / $425.33	Professional		$95.09	$219.71	$425.33
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $812.95 / $812.95 / $1,219.43	Professional	22	$812.95	$812.95	$1,219.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.40 / $500.06 / $1,250.69	Professional	50	$154.40	$500.06	$1,250.69
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $20.50 / $42.53 / $64.75	Professional	53	$20.50	$42.53	$64.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $201.01 / $369.94	Professional		$129.44	$201.01	$369.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $194.16 / $301.52 / $554.90	Professional	50	$194.16	$301.52	$554.90
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 $117.06 / $237.59 / $430.92	Professional		$117.06	$237.59	$430.92
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 $124.59 / $236.98 / $421.44	Professional		$124.59	$236.98	$421.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $504.08 / $554.14 / $32,000.00	Facility		$504.08	$554.14	$32,000.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $100.82 / $110.83 / $110.83	Facility	53	$100.82	$110.83	$110.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.00 / $4,050.50 / $4,050.50	Professional		$1,052.00	$4,050.50	$4,050.50
United Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,560.00 / $2,914.00	Facility		$695.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $289.83 / $541.01	Professional		$206.45	$289.83	$541.01
United Facility/Professional Professional Modifier 50 Low / Median / High Price $90.00 / $90.00 / $90.00	Professional	50	$90.00	$90.00	$90.00