Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,669.00 / $12,826.00	Facility		$1,017.00	$3,669.00	$12,826.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $667.82 / $739.07 / $1,223.15	Facility	52	$667.82	$739.07	$1,223.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,401.56 / $17,851.06 / $42,485.53	Facility		$9,401.56	$17,851.06	$42,485.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,407.80 / $11,054.74 / $11,054.74	Facility		$1,407.80	$11,054.74	$11,054.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,821.59 / $1,821.59 / $1,821.59	Facility		$1,821.59	$1,821.59	$1,821.59
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,440.27 / $1,440.27 / $1,440.27	Facility	52	$1,440.27	$1,440.27	$1,440.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $180.03 / $180.03 / $180.03	Facility	AS	$180.03	$180.03	$180.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $45,000.00 / $50,078.50	Facility		$55.00	$45,000.00	$50,078.50
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,893.97 / $38,006.16 / $38,006.16	Facility	52	$2,893.97	$38,006.16	$38,006.16
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $361.75 / $4,750.77 / $4,750.77	Facility	AS	$361.75	$4,750.77	$4,750.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,457.80 / $1,827.98 / $3,218.01	Facility		$1,457.80	$1,827.98	$3,218.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,472.86 / $1,834.72 / $3,567.32	Facility		$1,472.86	$1,834.72	$3,567.32
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,440.27 / $1,440.27 / $1,440.27	Facility	52	$1,440.27	$1,440.27	$1,440.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $180.03 / $180.03 / $521.14	Facility	AS	$180.03	$180.03	$521.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $27,388.00	Facility		$2,093.00	$6,000.00	$27,388.00