Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,594.00 / $7,542.00	Facility		$632.00	$2,594.00	$7,542.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $121.10 / $128.05 / $187.94	Facility	52	$121.10	$128.05	$187.94
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.44 / $51.22 / $75.17	Facility	53	$48.44	$51.22	$75.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $880.73 / $1,576.63 / $3,371.00	Facility		$880.73	$1,576.63	$3,371.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $215.28 / $215.28 / $219.35	Facility		$215.28	$215.28	$219.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $3,125.00	Facility		$684.87	$908.58	$3,125.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,590.15	Facility		$55.00	$55.00	$3,590.15
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $453.79 / $2,722.36 / $2,722.36	Facility	52	$453.79	$2,722.36	$2,722.36
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $113.45 / $680.59 / $680.59	Facility	53	$113.45	$680.59	$680.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $235.96 / $276.58 / $566.15	Facility		$235.96	$276.58	$566.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.92 / $284.47 / $685.42	Facility		$236.92	$284.47	$685.42
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
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