Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $2,652.00 / $6,681.00	Facility		$604.00	$2,652.00	$6,681.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $146.50 / $322.29 / $442.39	Facility	52	$146.50	$322.29	$442.39
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $58.60 / $128.91 / $176.96	Facility	53	$58.60	$128.91	$176.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,565.00 / $3,395.00 / $5,774.00	Facility		$1,565.00	$3,395.00	$5,774.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,992.00 / $2,596.44	Facility		$455.00	$1,992.00	$2,596.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,040.99 / $10,639.60 / $16,394.00	Facility		$2,040.99	$10,639.60	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $580.50 / $8,067.84 / $8,067.84	Facility	52	$580.50	$8,067.84	$8,067.84
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $145.13 / $2,016.96 / $2,016.96	Facility	53	$145.13	$2,016.96	$2,016.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,335.00 / $6,285.00	Facility		$1,000.00	$3,335.00	$6,285.00