Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.00 / $2,620.00 / $7,495.00	Facility		$558.00	$2,620.00	$7,495.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $155.24 / $163.41 / $240.69	Facility	52	$155.24	$163.41	$240.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.10 / $65.37 / $96.28	Facility	53	$62.10	$65.37	$96.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,317.10 / $4,588.59 / $9,477.09	Facility		$2,317.10	$4,588.59	$9,477.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $276.70 / $4,149.24 / $4,149.24	Facility		$276.70	$4,149.24	$4,149.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $2,440.17 / $3,168.02	Facility		$1,770.00	$2,440.17	$3,168.02
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,639.60 / $11,500.00 / $16,394.00	Facility		$10,639.60	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $580.50 / $8,067.84 / $8,067.84	Facility	52	$580.50	$8,067.84	$8,067.84
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $145.13 / $2,016.96 / $2,016.96	Facility	53	$145.13	$2,016.96	$2,016.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $310.11 / $404.74 / $720.63	Facility		$310.11	$404.74	$720.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.36 / $408.32 / $739.04	Facility		$310.36	$408.32	$739.04
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00