Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,856.00 / $13,004.00	Facility		$1,082.00	$3,856.00	$13,004.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $581.70 / $655.21 / $4,652.45	Facility	52	$581.70	$655.21	$4,652.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,427.94 / $2,629.85 / $34,799.30	Facility		$1,427.94	$2,629.85	$34,799.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,244.46 / $1,273.76	Facility		$80.00	$1,244.46	$1,273.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,589.74 / $1,589.74 / $1,589.74	Facility		$1,589.74	$1,589.74	$1,589.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,259.83 / $1,259.83 / $1,259.83	Facility	52	$1,259.83	$1,259.83	$1,259.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $157.47 / $157.47 / $157.47	Facility	AS	$157.47	$157.47	$157.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,829.04	Facility		$55.00	$55.00	$12,829.04
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,532.11 / $5,159.08 / $5,591.10	Facility	52	$2,532.11	$5,159.08	$5,591.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $316.51 / $644.89 / $698.89	Facility	AS	$316.51	$644.89	$698.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,364.98 / $1,765.61 / $2,819.86	Facility		$1,364.98	$1,765.61	$2,819.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,365.25 / $1,771.06 / $2,856.97	Facility		$1,365.25	$1,771.06	$2,856.97
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,259.83 / $1,259.83 / $1,259.83	Facility	52	$1,259.83	$1,259.83	$1,259.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $533.96 / $533.96 / $533.96	Facility	80	$533.96	$533.96	$533.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $157.47 / $157.47 / $453.87	Facility	AS	$157.47	$157.47	$453.87
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