Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $3,174.00 / $11,453.00	Facility		$651.00	$3,174.00	$11,453.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.55 / $110.43 / $162.91	Facility	52	$104.55	$110.43	$162.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,902.66 / $7,219.05 / $14,297.75	Facility		$3,902.66	$7,219.05	$14,297.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $189.29 / $4,241.21 / $4,241.21	Facility		$189.29	$4,241.21	$4,241.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,557.45 / $5,812.88 / $7,113.57	Facility		$4,557.45	$5,812.88	$7,113.57
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $191.49 / $191.49	Facility	52	$191.49	$191.49	$191.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,185.90 / $3,598.00 / $23,890.45	Facility		$1,185.90	$3,598.00	$23,890.45
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $391.09 / $18,115.80 / $18,115.80	Facility	52	$391.09	$18,115.80	$18,115.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.97 / $244.37 / $488.21	Facility		$203.97	$244.37	$488.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.03 / $250.22 / $547.47	Facility		$207.03	$250.22	$547.47
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $191.49 / $191.49	Facility	52	$191.49	$191.49	$191.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00