Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,669.00 / $12,826.00	Facility		$1,002.00	$3,669.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,480.69 / $2,565.12 / $9,576.00	Facility		$1,480.69	$2,565.12	$9,576.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $719.19 / $719.19 / $1,402.98	Facility		$719.19	$719.19	$1,402.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,720.92 / $1,720.92 / $1,720.92	Facility		$1,720.92	$1,720.92	$1,720.92
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,069.99 / $1,069.99 / $1,069.99	Facility	62	$1,069.99	$1,069.99	$1,069.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.20 / $171.20 / $171.20	Facility	AS	$171.20	$171.20	$171.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,540.57	Facility		$55.00	$55.00	$15,540.57
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,096.34 / $4,376.83 / $4,698.67	Facility	62	$2,096.34	$4,376.83	$4,698.67
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $335.41 / $700.29 / $751.79	Facility	AS	$335.41	$700.29	$751.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.25 / $1,832.63 / $3,257.92	Facility		$1,449.25	$1,832.63	$3,257.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,449.25 / $1,845.70 / $3,309.57	Facility		$1,449.25	$1,845.70	$3,309.57
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,069.99 / $1,069.99 / $2,250.41	Facility	62	$1,069.99	$1,069.99	$2,250.41
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $576.10 / $576.10 / $576.10	Facility	80	$576.10	$576.10	$576.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $171.20 / $171.20 / $489.69	Facility	AS	$171.20	$171.20	$489.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00