Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $1,486.20 / $3,230.00	Facility		$360.90	$1,486.20	$3,230.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $89.15 / $156.01 / $180.45	Facility	52	$89.15	$156.01	$180.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $60.20 / $122.80 / $279.69	Facility	53	$60.20	$122.80	$279.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.30 / $312.11 / $717.92	Professional		$178.30	$312.11	$717.92
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $36.36 / $85.64 / $179.61	Professional	53	$36.36	$85.64	$179.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.07 / $222.84 / $329.82	Professional		$165.07	$222.84	$329.82
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $82.68 / $116.19 / $158.01	Professional	53	$82.68	$116.19	$158.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $2,060.00 / $2,805.00	Facility		$945.00	$2,060.00	$2,805.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.14 / $349.57 / $641.16	Professional		$196.14	$349.57	$641.16
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $93.85 / $172.77 / $312.13	Professional	53	$93.85	$172.77	$312.13
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 $194.94 / $194.94 / $194.94	Facility	52	$194.94	$194.94	$194.94
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.74 / $48.74 / $48.74	Facility	53	$48.74	$48.74	$48.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $63.86 / $137.13 / $244.40	Professional	53	$63.86	$137.13	$244.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.30 / $1,040.30 / $16,394.00	Facility		$1,040.30	$1,040.30	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $664.86 / $717.55 / $717.55	Facility	52	$664.86	$717.55	$717.55
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $166.21 / $179.39 / $179.39	Facility	53	$166.21	$179.39	$179.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.76 / $2,208.13 / $2,840.70	Professional		$1,182.76	$2,208.13	$2,840.70
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 $296.08 / $461.06 / $747.43	Professional		$296.08	$461.06	$747.43