Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.10 / $803.00 / $4,069.00	Facility		$38.10	$803.00	$4,069.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $51.43 / $83.65 / $167.31	Facility	50	$51.43	$83.65	$167.31
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $14.68 / $29.69 / $66.69	Facility	52	$14.68	$29.69	$66.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $53.45 / $172.00	Professional		$29.28	$53.45	$172.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.08 / $195.51 / $306.00	Professional	50	$77.08	$195.51	$306.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.68 / $20.93 / $29.91	Professional	52	$14.68	$20.93	$29.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $41.98 / $76.09	Professional		$36.54	$41.98	$76.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $54.81 / $59.97 / $114.14	Professional	50	$54.81	$59.97	$114.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,364.00 / $2,063.00	Facility		$649.00	$1,364.00	$2,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $51.40 / $91.15	Professional		$33.03	$51.40	$91.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $54.41 / $94.56	Professional		$34.61	$54.41	$94.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $182.35 / $189.20	Facility		$55.00	$182.35	$189.20
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $116.25 / $125.18 / $125.18	Facility	52	$116.25	$125.18	$125.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $233.44 / $348.00 / $400.73	Professional		$233.44	$348.00	$400.73
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 $45.03 / $69.80 / $108.76	Professional		$45.03	$69.80	$108.76