Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,496.00 / $7,495.00	Facility		$569.00	$2,496.00	$7,495.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.36 / $20.44 / $30.22	Facility	52	$19.36	$20.44	$30.22
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $7.74 / $8.17 / $12.09	Facility	53	$7.74	$8.17	$12.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $577.52 / $1,237.54	Facility		$279.95	$577.52	$1,237.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $34.02 / $34.76	Facility		$34.02	$34.02	$34.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $256.45 / $303.91	Facility		$50.00	$256.45	$303.91
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $73.86 / $910.60 / $910.60	Facility	52	$73.86	$910.60	$910.60
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $18.47 / $227.65 / $227.65	Facility	53	$18.47	$227.65	$227.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $49.89 / $86.87	Facility		$38.65	$49.89	$86.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $49.99 / $91.51	Facility		$38.71	$49.99	$91.51
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $1,018.00 / $2,608.00	Facility		$157.00	$1,018.00	$2,608.00