Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.24 / $452.00 / $3,230.00	Facility		$27.24	$452.00	$3,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $18.16 / $65.00	Professional		$11.66	$18.16	$65.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $22.95 / $42.09 / $106.00	Professional	50	$22.95	$42.09	$106.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.83 / $8.68 / $13.80	Professional	52	$5.83	$8.68	$13.80
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.33 / $3.47 / $3.84	Professional	53	$2.33	$3.47	$3.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $16.88 / $20.26	Professional		$10.68	$16.88	$20.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $16.02 / $18.84 / $34.92	Professional	50	$16.02	$18.84	$34.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $713.00 / $1,438.00 / $2,186.00	Facility		$713.00	$1,438.00	$2,186.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $15.82 / $29.02	Professional		$11.92	$15.82	$29.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $18.70 / $28.26	Professional		$14.16	$18.70	$28.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $85.00 / $85.45	Facility		$40.47	$85.00	$85.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $116.72 / $134.18	Professional		$111.04	$116.72	$134.18
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $808.00 / $2,577.00	Facility		$294.00	$808.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $17.91 / $31.11	Professional		$11.49	$17.91	$31.11