Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.52 / $1,794.00 / $5,085.00	Facility		$397.52	$1,794.00	$5,085.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.61 / $113.30 / $469.07	Facility	52	$41.61	$113.30	$469.07
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.64 / $45.32 / $187.63	Facility	53	$16.64	$45.32	$187.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $192.27 / $619.40	Professional		$81.62	$192.27	$619.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,270.00 / $2,138.00 / $2,838.00	Facility		$1,270.00	$2,138.00	$2,838.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $324.89 / $730.58	Professional		$91.93	$324.89	$730.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,282.00 / $12,282.00 / $12,282.00	Facility		$12,282.00	$12,282.00	$12,282.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $266.60 / $728.26	Professional		$104.17	$266.60	$728.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $468.20 / $477.85	Facility		$55.00	$468.20	$477.85
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $297.91 / $318.74 / $318.74	Facility	52	$297.91	$318.74	$318.74
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $74.48 / $79.69 / $79.69	Facility	53	$74.48	$79.69	$79.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.29 / $2,634.80 / $3,084.45	Professional		$1,338.29	$2,634.80	$3,084.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $2,297.00 / $19,000.00	Facility		$1,130.00	$2,297.00	$19,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.06 / $585.99 / $948.61	Professional		$372.06	$585.99	$948.61