Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $912.64 / $3,940.00	Facility		$135.16	$912.64	$3,940.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $909.12 / $1,039.77 / $1,039.77	Facility	50	$909.12	$1,039.77	$1,039.77
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.84 / $20.88 / $48.96	Facility	53	$9.84	$20.88	$48.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $95.62 / $200.53	Professional		$47.50	$95.62	$200.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.93 / $148.52 / $625.50	Professional	50	$69.93	$148.52	$625.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $59.43 / $131.65	Professional		$59.43	$59.43	$131.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $148.00 / $1,599.00	Facility		$108.00	$148.00	$1,599.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $110.21 / $192.36	Professional		$56.58	$110.21	$192.36
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 $58.43 / $104.71 / $185.24	Professional		$58.43	$104.71	$185.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $247.48 / $354.52 / $12,000.00	Facility		$247.48	$354.52	$12,000.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $48.61 / $49.50 / $49.50	Facility	53	$48.61	$49.50	$49.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $2,512.54 / $2,512.54	Professional		$526.00	$2,512.54	$2,512.54
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $794.00 / $2,577.00	Facility		$294.00	$794.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $132.18 / $254.69	Professional		$85.46	$132.18	$254.69