Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,598.00 / $7,542.00	Facility		$632.00	$2,598.00	$7,542.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $139.47 / $146.91 / $216.11	Facility	52	$139.47	$146.91	$216.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,442.20 / $7,075.63 / $14,297.75	Facility		$3,442.20	$7,075.63	$14,297.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $249.32 / $7,035.74 / $7,035.74	Facility		$249.32	$7,035.74	$7,035.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $5,089.72 / $6,031.33	Facility		$2,500.00	$5,089.72	$6,031.33
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $254.41 / $254.41 / $254.41	Facility	52	$254.41	$254.41	$254.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,832.20	Facility		$55.00	$55.00	$23,832.20
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $520.79 / $18,071.64 / $18,071.64	Facility	52	$520.79	$18,071.64	$18,071.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $270.20 / $317.35 / $648.66	Facility		$270.20	$317.35	$648.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.80 / $326.70 / $730.24	Facility		$271.80	$326.70	$730.24
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $254.41 / $254.41 / $254.41	Facility	52	$254.41	$254.41	$254.41
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00