Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.58 / $3,774.00 / $13,004.00	Facility		$1,057.58	$3,774.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,290.42 / $2,201.71 / $8,968.98	Facility		$1,290.42	$2,201.71	$8,968.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,243.25 / $1,287.46	Facility		$80.00	$1,243.25	$1,287.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.82 / $1,486.82 / $1,486.82	Facility		$1,486.82	$1,486.82	$1,486.82
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $925.06 / $925.06 / $925.06	Facility	62	$925.06	$925.06	$925.06
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $148.01 / $148.01 / $148.01	Facility	AS	$148.01	$148.01	$148.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $16,335.22	Facility		$55.00	$5,000.00	$16,335.22
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,786.79 / $3,781.71 / $4,036.11	Facility	62	$1,786.79	$3,781.71	$4,036.11
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $285.89 / $605.07 / $645.78	Facility	AS	$285.89	$605.07	$645.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,233.80 / $1,558.88 / $2,858.13	Facility		$1,233.80	$1,558.88	$2,858.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,233.80 / $1,558.88 / $2,931.13	Facility		$1,233.80	$1,558.88	$2,931.13
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $925.06 / $925.06 / $1,937.24	Facility	62	$925.06	$925.06	$1,937.24
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $495.93 / $495.93 / $495.93	Facility	80	$495.93	$495.93	$495.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $148.01 / $148.01 / $421.54	Facility	AS	$148.01	$148.01	$421.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,453.00 / $30,113.00	Facility		$4,600.00	$9,453.00	$30,113.00