Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,596.00 / $10,893.00	Facility		$945.00	$3,596.00	$10,893.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $495.31 / $533.76 / $792.24	Facility	52	$495.31	$533.76	$792.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,033.90 / $1,738.55 / $7,241.00	Facility		$1,033.90	$1,738.55	$7,241.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $952.06 / $952.06 / $986.49	Facility		$952.06	$952.06	$986.49
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 $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,225.42	Facility		$55.00	$55.00	$8,225.42
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,840.64 / $3,805.14 / $4,021.70	Facility	52	$1,840.64	$3,805.14	$4,021.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $230.08 / $475.64 / $502.71	Facility	AS	$230.08	$475.64	$502.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $860.27 / $1,147.32 / $2,128.17	Facility		$860.27	$1,147.32	$2,128.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $860.27 / $1,159.27 / $2,372.73	Facility		$860.27	$1,159.27	$2,372.73
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $399.06 / $399.06 / $399.06	Facility	80	$399.06	$399.06	$399.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $339.20 / $339.20	Facility	AS	$116.47	$339.20	$339.20
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00