Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $2,640.00 / $7,542.00	Facility		$624.00	$2,640.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,961.85 / $3,566.07 / $7,196.63	Facility		$1,961.85	$3,566.07	$7,196.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.40 / $3,720.71 / $3,720.71	Facility		$97.40	$3,720.71	$3,720.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $1,929.30 / $2,361.01	Facility		$1,512.62	$1,929.30	$2,361.01
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.25 / $94.25 / $94.25	Facility	52	$94.25	$94.25	$94.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,929.30 / $11,500.00 / $16,394.00	Facility		$7,929.30	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $190.52 / $6,012.68 / $6,012.68	Facility	52	$190.52	$6,012.68	$6,012.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $127.21 / $236.08	Facility		$100.72	$127.21	$236.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.90 / $130.55 / $249.45	Facility		$100.90	$130.55	$249.45
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $94.25 / $94.25 / $94.25	Facility	52	$94.25	$94.25	$94.25
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00