Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,236.00 / $7,542.00	Facility		$515.00	$2,236.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.85 / $621.50 / $2,049.36	Facility		$369.85	$621.50	$2,049.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $312.20 / $327.74	Facility		$80.00	$312.20	$327.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.87 / $406.87 / $406.87	Facility		$406.87	$406.87	$406.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $39.89 / $39.89 / $39.89	Facility	AS	$39.89	$39.89	$39.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,709.10	Facility		$55.00	$55.00	$1,709.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $78.28 / $163.65 / $170.91	Facility	AS	$78.28	$163.65	$170.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.16 / $476.96 / $796.55	Facility		$346.16	$476.96	$796.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.16 / $477.24 / $806.79	Facility		$346.16	$477.24	$806.79
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $136.44 / $136.44 / $136.44	Facility	80	$136.44	$136.44	$136.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $39.89 / $39.89 / $115.98	Facility	AS	$39.89	$39.89	$115.98
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00