Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.50 / $3,563.00 / $12,040.00	Facility		$1,017.50	$3,563.00	$12,040.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $509.34 / $548.71 / $815.96	Facility	52	$509.34	$548.71	$815.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,049.16 / $1,774.65 / $6,948.22	Facility		$1,049.16	$1,774.65	$6,948.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $986.09 / $986.09 / $1,020.08	Facility		$986.09	$986.09	$1,020.08
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 $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,007.60 / $9,691.28	Facility		$55.00	$8,007.60	$9,691.28
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,887.52 / $3,923.82 / $4,161.54	Facility	52	$1,887.52	$3,923.82	$4,161.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $235.94 / $490.48 / $520.19	Facility	AS	$235.94	$490.48	$520.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $980.68 / $1,207.41 / $2,207.46	Facility		$980.68	$1,207.41	$2,207.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $981.99 / $1,218.00 / $2,422.00	Facility		$981.99	$1,218.00	$2,422.00
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $410.24 / $410.24 / $410.24	Facility	80	$410.24	$410.24	$410.24
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $348.70 / $348.70	Facility	AS	$119.94	$348.70	$348.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,051.00 / $6,002.00 / $13,237.00	Facility		$2,051.00	$6,002.00	$13,237.00