Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,652.00 / $5,646.55 / $30,027.31	Facility		$2,652.00	$5,646.55	$30,027.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,221.00 / $6,274.00 / $13,081.00	Facility		$2,221.00	$6,274.00	$13,081.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $525.00 / $2,277.00	Facility		$500.00	$525.00	$2,277.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $22,189.40 / $22,189.40	Facility		$4,100.00	$22,189.40	$22,189.40
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,382.09 / $13,156.44 / $13,156.44	Facility	62	$2,382.09	$13,156.44	$13,156.44
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $381.13 / $2,105.03 / $2,105.03	Facility	AS	$381.13	$2,105.03	$2,105.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $7,232.00 / $12,407.00	Facility		$1,697.00	$7,232.00	$12,407.00