Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $36.31 / $57.40	Professional		$30.65	$36.31	$57.40
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $96.69 / $99.55 / $250.26	Professional	22	$96.69	$99.55	$250.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.18 / $17.92 / $23.59	Professional	52	$15.18	$17.92	$23.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $36.72 / $64.45	Professional		$31.04	$36.72	$64.45
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $16.11 / $16.11 / $16.11	Professional	52	$16.11	$16.11	$16.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $34.00 / $53.08	Professional		$22.81	$34.00	$53.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.89 / $35.89 / $52.81	Facility		$35.89	$35.89	$52.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $44.07 / $100.67	Professional		$30.18	$44.07	$100.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $143.82 / $158.69	Facility		$66.50	$143.82	$158.69
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $44.02 / $115.06 / $126.96	Facility	52	$44.02	$115.06	$126.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $202.03 / $279.23 / $296.02	Professional		$202.03	$279.23	$296.02
United Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $37.03 / $59.00	Professional		$29.24	$37.03	$59.00