Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.24 / $1,829.00 / $6,681.00	Facility		$399.24	$1,829.00	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,879.00 / $3,879.00 / $8,582.48	Facility	50	$3,879.00	$3,879.00	$8,582.48
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.08 / $281.60 / $1,266.02	Facility	52	$99.08	$281.60	$1,266.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.63 / $112.64 / $506.41	Facility	53	$39.63	$112.64	$506.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.96 / $819.25 / $1,231.51	Professional		$219.96	$819.25	$1,231.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $2,753.00 / $3,681.00	Facility		$1,610.00	$2,753.00	$3,681.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.68 / $645.01 / $1,493.53	Professional		$214.68	$645.01	$1,493.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.65 / $645.12 / $1,451.67	Professional		$233.65	$645.12	$1,451.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,601.53 / $1,634.36	Facility		$55.00	$1,601.53	$1,634.36
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $727.83 / $782.54 / $782.54	Facility	52	$727.83	$782.54	$782.54
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $181.96 / $195.63 / $195.63	Facility	53	$181.96	$195.63	$195.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,242.87 / $6,260.24 / $7,329.60	Professional		$3,242.87	$6,260.24	$7,329.60
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
United Facility/Professional Professional Modifier Low / Median / High Price $828.99 / $1,206.96 / $1,958.98	Professional		$828.99	$1,206.96	$1,958.98