Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.00 / $2,293.00 / $6,681.00	Facility		$606.00	$2,293.00	$6,681.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $259.39 / $564.24 / $773.32	Facility	52	$259.39	$564.24	$773.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $389.10 / $846.36 / $1,159.98	Facility	54	$389.10	$846.36	$1,159.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.00 / $2,175.00 / $3,004.00	Facility		$1,417.00	$2,175.00	$3,004.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,743.45 / $4,754.80 / $16,394.00	Facility		$2,743.45	$4,754.80	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,200.66 / $3,605.48 / $3,605.48	Facility	52	$1,200.66	$3,605.48	$3,605.48
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,050.58 / $3,154.80 / $3,154.80	Facility	54	$1,050.58	$3,154.80	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $2,297.00 / $4,099.00	Facility		$1,130.00	$2,297.00	$4,099.00