Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.00 / $3,170.19 / $10,639.00	Facility		$706.00	$3,170.19	$10,639.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.51 / $133.11 / $196.34	Facility	52	$126.51	$133.11	$196.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,256.18 / $2,398.40 / $4,781.22	Facility		$1,256.18	$2,398.40	$4,781.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $226.60 / $1,266.89 / $1,266.89	Facility		$226.60	$1,266.89	$1,266.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.02 / $1,240.44 / $3,559.00	Facility		$935.02	$1,240.44	$3,559.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $230.55 / $230.55 / $230.55	Facility	52	$230.55	$230.55	$230.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,901.45	Facility		$55.00	$55.00	$4,901.45
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $472.90 / $3,716.72 / $3,716.72	Facility	52	$472.90	$3,716.72	$3,716.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $294.50 / $588.29	Facility		$245.60	$294.50	$588.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $301.75 / $660.74	Facility		$246.02	$301.75	$660.74
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $230.55 / $230.55 / $230.55	Facility	52	$230.55	$230.55	$230.55
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00