Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,236.00 / $7,542.00	Facility		$488.00	$2,236.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.22 / $558.97 / $2,830.76	Facility		$325.22	$558.97	$2,830.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $280.23 / $296.27	Facility		$80.00	$280.23	$296.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.30 / $365.30 / $365.30	Facility		$365.30	$365.30	$365.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $35.86 / $35.86 / $35.86	Facility	AS	$35.86	$35.86	$35.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $5,000.00	Facility		$55.00	$5,000.00	$5,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $68.66 / $145.93 / $150.72	Facility	AS	$68.66	$145.93	$150.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.80 / $416.30 / $696.04	Facility		$307.80	$416.30	$696.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.66 / $416.31 / $716.82	Facility		$308.66	$416.31	$716.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $121.54 / $121.54 / $121.54	Facility	80	$121.54	$121.54	$121.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $35.86 / $35.86 / $103.31	Facility	AS	$35.86	$35.86	$103.31
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00