Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,774.00 / $14,316.00	Facility		$1,093.00	$3,774.00	$14,316.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $785.69 / $871.61 / $1,446.47	Facility	52	$785.69	$871.61	$1,446.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,947.06 / $3,546.19 / $47,020.99	Facility		$1,947.06	$3,546.19	$47,020.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,657.52 / $1,704.17	Facility		$80.00	$1,657.52	$1,704.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,155.96 / $2,155.96 / $2,155.96	Facility		$2,155.96	$2,155.96	$2,155.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,701.26 / $1,701.26 / $1,701.26	Facility	52	$1,701.26	$1,701.26	$1,701.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $212.66 / $212.66 / $212.66	Facility	AS	$212.66	$212.66	$212.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,770.78	Facility		$55.00	$55.00	$23,770.78
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,405.34 / $6,958.71 / $7,485.02	Facility	52	$3,405.34	$6,958.71	$7,485.02
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $425.67 / $869.84 / $935.63	Facility	AS	$425.67	$869.84	$935.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,844.24 / $2,404.48 / $3,955.60	Facility		$1,844.24	$2,404.48	$3,955.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,844.24 / $2,404.48 / $3,984.19	Facility		$1,844.24	$2,404.48	$3,984.19
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,701.26 / $1,701.26 / $1,701.26	Facility	52	$1,701.26	$1,701.26	$1,701.26
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $723.60 / $723.60 / $723.60	Facility	80	$723.60	$723.60	$723.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $212.66 / $212.66 / $615.05	Facility	AS	$212.66	$212.66	$615.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,738.00 / $9,458.00 / $27,388.00	Facility		$4,738.00	$9,458.00	$27,388.00