Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $13,413.85 / $30,393.00	Facility		$1,794.00	$13,413.85	$30,393.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $202.73 / $415.59 / $537.76	Facility	53	$202.73	$415.59	$537.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.62 / $1,117.07 / $4,272.00	Professional		$966.62	$1,117.07	$4,272.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,107.38 / $1,107.38 / $1,107.38	Professional		$1,107.38	$1,107.38	$1,107.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,230.00 / $11,548.00 / $19,974.00	Facility		$6,230.00	$11,548.00	$19,974.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.43 / $1,250.32 / $1,936.76	Professional		$847.43	$1,250.32	$1,936.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,665.00 / $12,282.00 / $21,589.32	Facility		$5,665.00	$12,282.00	$21,589.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.83 / $1,663.64 / $2,505.30	Professional		$1,188.83	$1,663.64	$2,505.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,427.54 / $26,727.00 / $26,727.00	Facility		$9,427.54	$26,727.00	$26,727.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $407.91 / $5,345.40 / $5,345.40	Facility	53	$407.91	$5,345.40	$5,345.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,806.64 / $6,806.64 / $7,877.55	Professional		$6,806.64	$6,806.64	$7,877.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,029.00 / $14,625.00 / $38,265.00	Facility		$5,029.00	$14,625.00	$38,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,068.14 / $1,724.51 / $2,489.83	Professional		$1,068.14	$1,724.51	$2,489.83