Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,315.00 / $7,513.00	Facility		$488.00	$2,315.00	$7,513.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.74 / $502.47 / $3,496.48	Facility		$285.74	$502.47	$3,496.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $245.80 / $259.69	Facility		$80.00	$245.80	$259.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.81 / $319.81 / $319.81	Facility		$319.81	$319.81	$319.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $31.39 / $31.39 / $31.39	Facility	AS	$31.39	$31.39	$31.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $2,000.00	Facility		$55.00	$2,000.00	$2,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $60.49 / $128.52 / $132.77	Facility	AS	$60.49	$128.52	$132.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $270.50 / $360.27 / $597.05	Facility		$270.50	$360.27	$597.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.50 / $360.27 / $601.54	Facility		$270.50	$360.27	$601.54
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $106.38 / $106.38 / $106.38	Facility	80	$106.38	$106.38	$106.38
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $31.39 / $31.39 / $90.42	Facility	AS	$31.39	$31.39	$90.42
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00