Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.72 / $4,161.00 / $10,746.00	Facility		$526.72	$4,161.00	$10,746.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $238.98 / $489.90 / $633.92	Facility	52	$238.98	$489.90	$633.92
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $95.59 / $195.96 / $253.57	Facility	53	$95.59	$195.96	$253.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,984.00 / $6,563.00 / $10,237.00	Facility		$2,984.00	$6,563.00	$10,237.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,413.00 / $12,909.00 / $22,801.00	Facility		$9,413.00	$12,909.00	$22,801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,313.88 / $31,754.00 / $31,754.00	Facility		$4,313.88	$31,754.00	$31,754.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $916.51 / $25,403.20 / $25,403.20	Facility	52	$916.51	$25,403.20	$25,403.20
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $229.13 / $6,350.80 / $6,350.80	Facility	53	$229.13	$6,350.80	$6,350.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,964.00 / $9,163.00 / $24,634.00	Facility		$3,964.00	$9,163.00	$24,634.00