Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,572.00 / $6,035.01	Facility		$652.00	$2,572.00	$6,035.01
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.38 / $99.31 / $150.74	Facility	52	$94.38	$99.31	$150.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,210.97 / $2,382.82 / $4,734.50	Facility		$1,210.97	$2,382.82	$4,734.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $170.21 / $1,521.77 / $1,521.77	Facility		$170.21	$1,521.77	$1,521.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.02 / $1,240.44 / $2,213.00	Facility		$935.02	$1,240.44	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,901.45 / $11,500.00 / $16,394.00	Facility		$4,901.45	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $352.70 / $3,716.72 / $3,716.72	Facility	52	$352.70	$3,716.72	$3,716.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.75 / $269.57 / $446.87	Facility		$188.75	$269.57	$446.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.75 / $271.37 / $492.55	Facility		$188.75	$271.37	$492.55
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00