Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,893.00	Facility		$969.00	$3,570.00	$10,893.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $589.98 / $634.66 / $942.22	Facility	52	$589.98	$634.66	$942.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,232.32 / $2,076.42 / $7,114.95	Facility		$1,232.32	$2,076.42	$7,114.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,131.09 / $1,131.09 / $1,170.04	Facility		$1,131.09	$1,131.09	$1,170.04
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 $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,194.88	Facility		$55.00	$55.00	$11,194.88
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,192.36 / $4,525.71 / $4,797.46	Facility	52	$2,192.36	$4,525.71	$4,797.46
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $274.05 / $565.71 / $599.67	Facility	AS	$274.05	$565.71	$599.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,179.96 / $1,466.76 / $2,538.00	Facility		$1,179.96	$1,466.76	$2,538.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,179.96 / $1,475.16 / $2,816.16	Facility		$1,179.96	$1,475.16	$2,816.16
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $474.22 / $474.22 / $474.22	Facility	80	$474.22	$474.22	$474.22
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $403.09 / $403.09	Facility	AS	$138.58	$403.09	$403.09
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