Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $3,766.00 / $13,401.00	Facility		$1,051.00	$3,766.00	$13,401.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $605.74 / $671.24 / $1,115.28	Facility	52	$605.74	$671.24	$1,115.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,511.09 / $2,751.37 / $36,464.58	Facility		$1,511.09	$2,751.37	$36,464.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,287.01 / $1,320.48	Facility		$80.00	$1,287.01	$1,320.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.29 / $1,659.29 / $1,659.29	Facility		$1,659.29	$1,659.29	$1,659.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $164.00	Facility	AS	$164.00	$164.00	$164.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,350.86	Facility		$55.00	$55.00	$18,350.86
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,631.26 / $5,369.79 / $5,796.52	Facility	52	$2,631.26	$5,369.79	$5,796.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $328.91 / $671.22 / $724.57	Facility	AS	$328.91	$671.22	$724.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,422.81 / $1,854.50 / $3,161.69	Facility		$1,422.81	$1,854.50	$3,161.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,422.81 / $1,856.08 / $3,239.41	Facility		$1,422.81	$1,856.08	$3,239.41
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $557.09 / $557.09 / $557.09	Facility	80	$557.09	$557.09	$557.09
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $473.53	Facility	AS	$164.00	$164.00	$473.53
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