Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.90 / $3,982.00 / $15,920.00	Facility		$1,093.90	$3,982.00	$15,920.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $724.51 / $802.72 / $1,333.07	Facility	52	$724.51	$802.72	$1,333.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,809.98 / $3,126.32 / $39,195.29	Facility		$1,809.98	$3,126.32	$39,195.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,289.43 / $1,289.43 / $1,538.26	Facility		$1,289.43	$1,289.43	$1,538.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,984.25 / $1,984.25 / $1,984.25	Facility		$1,984.25	$1,984.25	$1,984.25
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,569.13 / $1,569.13 / $1,569.13	Facility	52	$1,569.13	$1,569.13	$1,569.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.14 / $196.14 / $196.14	Facility	AS	$196.14	$196.14	$196.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,953.60	Facility		$55.00	$55.00	$15,953.60
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,145.70 / $6,418.56 / $6,929.94	Facility	52	$3,145.70	$6,418.56	$6,929.94
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $393.21 / $802.32 / $866.24	Facility	AS	$393.21	$802.32	$866.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,700.75 / $2,216.75 / $3,821.47	Facility		$1,700.75	$2,216.75	$3,821.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,700.75 / $2,218.66 / $3,868.53	Facility		$1,700.75	$2,218.66	$3,868.53
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,569.13 / $1,569.13 / $1,569.13	Facility	52	$1,569.13	$1,569.13	$1,569.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $666.17 / $666.17 / $666.17	Facility	80	$666.17	$666.17	$666.17
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $196.14 / $196.14 / $566.24	Facility	AS	$196.14	$196.14	$566.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,904.00 / $11,062.00 / $26,985.00	Facility		$4,904.00	$11,062.00	$26,985.00