Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.33 / $5,017.00 / $16,577.00	Facility		$1,649.33	$5,017.00	$16,577.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $378.16 / $759.88 / $1,029.79	Facility	52	$378.16	$759.88	$1,029.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $151.26 / $303.95 / $411.92	Facility	53	$151.26	$303.95	$411.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,052.00 / $9,498.00 / $16,534.00	Facility		$3,052.00	$9,498.00	$16,534.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,409.18 / $9,664.93	Facility		$55.00	$9,409.18	$9,664.93
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,497.65 / $2,900.39 / $2,900.39	Facility	52	$1,497.65	$2,900.39	$2,900.39
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $374.41 / $725.10 / $725.10	Facility	53	$374.41	$725.10	$725.10
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,170.04 / $2,265.92 / $2,265.92	Facility	62	$1,170.04	$2,265.92	$2,265.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,905.00 / $5,728.00 / $10,104.00	Facility		$2,905.00	$5,728.00	$10,104.00