Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,219.00 / $10,836.00	Facility		$803.00	$3,219.00	$10,836.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $398.01 / $495.71 / $656.39	Facility	52	$398.01	$495.71	$656.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,275.00 / $26,360.94 / $52,546.14	Facility		$14,275.00	$26,360.94	$52,546.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $768.14 / $768.14 / $768.14	Facility		$768.14	$768.14	$768.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,340.41 / $24,340.41 / $24,340.41	Facility		$24,340.41	$24,340.41	$24,340.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $96,178.75	Facility		$11,500.00	$26,542.00	$96,178.75
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,582.46 / $72,931.03 / $72,931.03	Facility	52	$1,582.46	$72,931.03	$72,931.03
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $197.81 / $9,116.37 / $9,116.37	Facility	AS	$197.81	$9,116.37	$9,116.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $843.57 / $1,136.47 / $1,901.66	Facility		$843.57	$1,136.47	$1,901.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $843.57 / $1,138.90 / $2,186.44	Facility		$843.57	$1,138.90	$2,186.44
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $324.54 / $324.54 / $324.54	Facility	80	$324.54	$324.54	$324.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $275.86 / $275.86 / $275.86	Facility	AS	$275.86	$275.86	$275.86
United Facility/Professional Facility Modifier Low / Median / High Price $5,552.00 / $10,235.00 / $36,801.00	Facility		$5,552.00	$10,235.00	$36,801.00