Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,718.00 / $12,941.00	Facility		$1,020.00	$3,718.00	$12,941.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $720.31 / $797.40 / $1,320.31	Facility	52	$720.31	$797.40	$1,320.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,802.85 / $3,208.39 / $42,980.66	Facility		$1,802.85	$3,208.39	$42,980.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,517.44 / $1,555.62	Facility		$80.00	$1,517.44	$1,555.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,967.28 / $1,967.28 / $1,967.28	Facility		$1,967.28	$1,967.28	$1,967.28
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,554.50 / $1,554.50 / $1,554.50	Facility	52	$1,554.50	$1,554.50	$1,554.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.31 / $194.31 / $194.31	Facility	AS	$194.31	$194.31	$194.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,733.80	Facility		$55.00	$55.00	$21,733.80
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,121.15 / $6,354.39 / $6,862.69	Facility	52	$3,121.15	$6,354.39	$6,862.69
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $390.14 / $794.30 / $857.84	Facility	AS	$390.14	$794.30	$857.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,573.17 / $1,974.92 / $3,474.63	Facility		$1,573.17	$1,974.92	$3,474.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,590.31 / $1,980.47 / $3,853.29	Facility		$1,590.31	$1,980.47	$3,853.29
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,554.50 / $1,554.50 / $1,554.50	Facility	52	$1,554.50	$1,554.50	$1,554.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $661.54 / $661.54 / $661.54	Facility	80	$661.54	$661.54	$661.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $194.31 / $194.31 / $562.30	Facility	AS	$194.31	$194.31	$562.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,122.00 / $16,000.00	Facility		$2,600.00	$7,122.00	$16,000.00