Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,542.00	Facility		$488.00	$2,172.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.35 / $610.40 / $2,039.68	Facility		$370.35	$610.40	$2,039.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $315.43 / $332.35	Facility		$80.00	$315.43	$332.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.31 / $409.31 / $409.31	Facility		$409.31	$409.31	$409.31
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $250.96 / $250.96 / $250.96	Facility	62	$250.96	$250.96	$250.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.15 / $40.15 / $40.15	Facility	AS	$40.15	$40.15	$40.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,631.08	Facility		$55.00	$55.00	$5,631.08
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $488.42 / $1,025.63 / $1,068.33	Facility	62	$488.42	$1,025.63	$1,068.33
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $78.15 / $164.10 / $170.93	Facility	AS	$78.15	$164.10	$170.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.86 / $464.01 / $773.81	Facility		$346.86	$464.01	$773.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.86 / $470.05 / $802.22	Facility		$346.86	$470.05	$802.22
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $250.96 / $250.96 / $531.49	Facility	62	$250.96	$250.96	$531.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $40.15 / $40.15 / $115.65	Facility	AS	$40.15	$40.15	$115.65
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00