Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,662.02 / $10,893.00	Facility		$969.00	$3,662.02	$10,893.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $637.29 / $686.33 / $1,018.11	Facility	52	$637.29	$686.33	$1,018.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.48 / $2,230.19 / $8,982.00	Facility		$1,318.48	$2,230.19	$8,982.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,221.73 / $1,221.73 / $1,265.00	Facility		$1,221.73	$1,221.73	$1,265.00
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 $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,089.92	Facility		$55.00	$55.00	$12,089.92
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,367.14 / $4,890.22 / $5,177.72	Facility	52	$2,367.14	$4,890.22	$5,177.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $295.89 / $611.28 / $647.22	Facility	AS	$295.89	$611.28	$647.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,275.08 / $1,604.07 / $2,741.12	Facility		$1,275.08	$1,604.07	$2,741.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,283.86 / $1,624.25 / $3,043.73	Facility		$1,283.86	$1,624.25	$3,043.73
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $513.02 / $513.02 / $513.02	Facility	80	$513.02	$513.02	$513.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $436.07 / $436.07	Facility	AS	$149.80	$436.07	$436.07
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00