Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.21 / $1,415.60 / $3,055.00	Facility		$354.21	$1,415.60	$3,055.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $89.07 / $155.86 / $180.36	Facility	52	$89.07	$155.86	$180.36
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $60.07 / $112.04 / $279.39	Facility	53	$60.07	$112.04	$279.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.79 / $308.72 / $609.67	Professional		$174.79	$308.72	$609.67
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $36.11 / $82.96 / $179.25	Professional	53	$36.11	$82.96	$179.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $251.36 / $328.94	Professional		$178.87	$251.36	$328.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,085.00 / $2,895.00	Facility		$888.00	$2,085.00	$2,895.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.68 / $356.52 / $642.73	Professional		$199.68	$356.52	$642.73
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $83.60 / $163.09 / $283.52	Professional	53	$83.60	$163.09	$283.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $632.00 / $1,992.00	Facility		$455.00	$632.00	$1,992.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	52	$194.61	$194.61	$194.61
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.65 / $48.65 / $48.65	Facility	53	$48.65	$48.65	$48.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $63.86 / $137.13 / $244.21	Professional	53	$63.86	$137.13	$244.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,038.84 / $1,063.59 / $16,394.00	Facility		$1,038.84	$1,063.59	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $663.66 / $716.72 / $716.72	Facility	52	$663.66	$716.72	$716.72
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $165.92 / $179.18 / $179.18	Facility	53	$165.92	$179.18	$179.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.00 / $2,206.53 / $2,836.73	Professional		$1,182.00	$2,206.53	$2,836.73
United Facility/Professional Facility Modifier Low / Median / High Price $595.00 / $1,401.00 / $2,886.00	Facility		$595.00	$1,401.00	$2,886.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.37 / $441.82 / $719.31	Professional		$295.37	$441.82	$719.31
United Facility/Professional Professional Modifier 53 Low / Median / High Price $139.66 / $139.66 / $139.66	Professional	53	$139.66	$139.66	$139.66