Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.59 / $1,939.00 / $6,085.00	Facility		$368.59	$1,939.00	$6,085.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.70 / $60.38 / $181.04	Facility	53	$25.70	$60.38	$181.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.91 / $285.97 / $946.96	Professional		$168.91	$285.97	$946.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,917.00 / $3,753.00 / $6,090.00	Facility		$1,917.00	$3,753.00	$6,090.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $294.05 / $546.79	Professional		$162.79	$294.05	$546.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $327.33 / $531.94	Professional		$166.95	$327.33	$531.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $861.10 / $879.65 / $12,000.00	Facility		$861.10	$879.65	$12,000.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $138.36 / $148.02 / $148.02	Facility	53	$138.36	$148.02	$148.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.00 / $2,426.80 / $2,867.70	Professional		$1,568.00	$2,426.80	$2,867.70
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 $270.76 / $440.15 / $682.20	Professional		$270.76	$440.15	$682.20