Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,925.00 / $10,893.00	Facility		$1,077.00	$3,925.00	$10,893.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $729.62 / $783.69 / $1,197.15	Facility	52	$729.62	$783.69	$1,197.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,527.32 / $2,588.40 / $9,631.00	Facility		$1,527.32	$2,588.40	$9,631.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,383.33 / $2,094.96 / $2,094.96	Facility		$1,383.33	$2,094.96	$2,094.96
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 $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $13,801.52	Facility		$55.00	$10,160.00	$13,801.52
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,718.14 / $5,570.85 / $5,907.44	Facility	52	$2,718.14	$5,570.85	$5,907.44
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $339.77 / $696.36 / $738.43	Facility	AS	$339.77	$696.36	$738.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,472.76 / $1,826.36 / $3,153.62	Facility		$1,472.76	$1,826.36	$3,153.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,473.40 / $1,846.82 / $3,488.71	Facility		$1,473.40	$1,846.82	$3,488.71
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $585.23 / $585.23 / $585.23	Facility	80	$585.23	$585.23	$585.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $497.44 / $497.44	Facility	AS	$170.75	$497.44	$497.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00