Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.94 / $1,829.00 / $6,026.63	Facility		$316.94	$1,829.00	$6,026.63
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $90.26 / $198.56 / $272.55	Facility	52	$90.26	$198.56	$272.55
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.10 / $79.42 / $109.02	Facility	53	$36.10	$79.42	$109.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,319.00 / $2,706.00 / $3,591.00	Facility		$1,319.00	$2,706.00	$3,591.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,087.39 / $1,992.00	Facility		$455.00	$1,087.39	$1,992.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,095.54 / $4,901.45 / $16,394.00	Facility		$1,095.54	$4,901.45	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $358.02 / $3,716.72 / $3,716.72	Facility	52	$358.02	$3,716.72	$3,716.72
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $89.50 / $929.18 / $929.18	Facility	53	$89.50	$929.18	$929.18
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $279.70 / $2,903.69 / $2,903.69	Facility	62	$279.70	$2,903.69	$2,903.69
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $44.75 / $464.59 / $464.59	Facility	AS	$44.75	$464.59	$464.59
United Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,257.00 / $4,099.00	Facility		$875.00	$2,257.00	$4,099.00