Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,893.00	Facility		$945.00	$3,570.00	$10,893.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $863.78 / $929.17 / $1,367.71	Facility	52	$863.78	$929.17	$1,367.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,806.86 / $3,204.08 / $15,936.48	Facility		$1,806.86	$3,204.08	$15,936.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,651.11 / $1,651.11 / $1,707.16	Facility		$1,651.11	$1,651.11	$1,707.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,054.82 / $4,619.00	Facility		$900.00	$2,054.82	$4,619.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,615.65 / $1,615.65 / $1,615.65	Facility	52	$1,615.65	$1,615.65	$1,615.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $201.96 / $201.96 / $201.96	Facility	AS	$201.96	$201.96	$201.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,257.04	Facility		$55.00	$55.00	$16,257.04
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,176.04 / $6,572.37 / $6,976.69	Facility	52	$3,176.04	$6,572.37	$6,976.69
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $397.01 / $821.55 / $872.09	Facility	AS	$397.01	$821.55	$872.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,552.50 / $2,003.83 / $3,722.54	Facility		$1,552.50	$2,003.83	$3,722.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,573.25 / $2,037.13 / $4,138.60	Facility		$1,573.25	$2,037.13	$4,138.60
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,615.65 / $1,615.65 / $1,615.65	Facility	52	$1,615.65	$1,615.65	$1,615.65
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $694.31 / $694.31 / $694.31	Facility	80	$694.31	$694.31	$694.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $201.96 / $590.16 / $590.16	Facility	AS	$201.96	$590.16	$590.16
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