Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,281.00	Facility		$935.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $817.19 / $1,389.61 / $6,850.00	Facility		$817.19	$1,389.61	$6,850.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $391.76 / $391.76 / $768.87	Facility		$391.76	$391.76	$768.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $937.78 / $937.78 / $937.78	Facility		$937.78	$937.78	$937.78
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.28 / $93.28 / $93.28	Facility	AS	$93.28	$93.28	$93.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,173.44	Facility		$55.00	$55.00	$13,173.44
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $182.77 / $381.64 / $410.34	Facility	AS	$182.77	$381.64	$410.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $790.72 / $1,026.18 / $1,801.19	Facility		$790.72	$1,026.18	$1,801.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $790.72 / $1,026.18 / $1,847.19	Facility		$790.72	$1,026.18	$1,847.19
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $313.88 / $313.88 / $313.88	Facility	80	$313.88	$313.88	$313.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $93.28 / $93.28 / $266.80	Facility	AS	$93.28	$93.28	$266.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00