Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,787.33 / $3,608.67 / $6,681.00	Facility		$1,787.33	$3,608.67	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,391.00 / $3,391.00 / $3,391.00	Facility	50	$3,391.00	$3,391.00	$3,391.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $622.86 / $893.67 / $1,887.20	Facility	52	$622.86	$893.67	$1,887.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $7,178.00 / $13,734.00	Facility		$2,897.00	$7,178.00	$13,734.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,584.72 / $11,877.88	Facility		$55.00	$11,584.72	$11,877.88
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,961.90 / $5,744.80 / $5,744.80	Facility	52	$2,961.90	$5,744.80	$5,744.80
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,313.98 / $4,488.13 / $4,488.13	Facility	62	$2,313.98	$4,488.13	$4,488.13
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $370.24 / $718.10 / $718.10	Facility	AS	$370.24	$718.10	$718.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,695.00 / $3,616.00 / $6,285.00	Facility		$1,695.00	$3,616.00	$6,285.00