Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.42 / $3,682.00 / $12,941.00	Facility		$867.42	$3,682.00	$12,941.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $405.24 / $433.71 / $645.63	Facility	52	$405.24	$433.71	$645.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.27 / $1,420.22 / $6,080.33	Facility		$842.27	$1,420.22	$6,080.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $778.62 / $778.62 / $802.81	Facility		$778.62	$778.62	$802.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,690.00	Facility		$55.00	$55.00	$7,690.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,507.70 / $3,102.73 / $3,308.82	Facility	52	$1,507.70	$3,102.73	$3,308.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $801.98 / $985.41 / $1,742.07	Facility		$801.98	$985.41	$1,742.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $804.04 / $998.93 / $1,926.18	Facility		$804.04	$998.93	$1,926.18
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $2,500.00 / $9,000.00	Facility		$471.00	$2,500.00	$9,000.00