Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,981.07 / $12,882.50	Facility		$1,412.54	$3,981.07	$12,882.50
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $16,218.10 / $16,218.10 / $16,218.10	Facility	62	$16,218.10	$16,218.10	$16,218.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,413.10 / $13,182.57	Facility		$2,754.23	$7,413.10	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $512.86 / $2,630.27	Facility		$501.19	$512.86	$2,630.27
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	22	$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	62	$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	AS	$263.03	$263.03	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $22,387.21	Facility		$3,235.94	$3,235.94	$22,387.21
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility	62	$13,803.84	$13,803.84	$13,803.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,413.10 / $12,022.64	Facility		$3,019.95	$7,413.10	$12,022.64