Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,131.00 / $7,542.00	Facility		$569.00	$2,131.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $820.19 / $1,410.81 / $6,850.00	Facility		$820.19	$1,410.81	$6,850.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $710.24 / $748.53	Facility		$80.00	$710.24	$748.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $928.06 / $928.06 / $928.06	Facility		$928.06	$928.06	$928.06
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $569.25 / $569.25 / $569.25	Facility	62	$569.25	$569.25	$569.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $91.08 / $91.08 / $91.08	Facility	AS	$91.08	$91.08	$91.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $12,730.48	Facility		$55.00	$5,000.00	$12,730.48
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,100.79 / $2,323.71 / $2,412.19	Facility	62	$1,100.79	$2,323.71	$2,412.19
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $176.13 / $371.79 / $385.95	Facility	AS	$176.13	$371.79	$385.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $783.69 / $1,053.15 / $1,820.25	Facility		$783.69	$1,053.15	$1,820.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.69 / $1,062.53 / $1,820.25	Facility		$783.69	$1,062.53	$1,820.25
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $569.25 / $569.25 / $1,207.51	Facility	62	$569.25	$569.25	$1,207.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $309.12 / $309.12 / $309.12	Facility	80	$309.12	$309.12	$309.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $91.08 / $91.08 / $262.75	Facility	AS	$91.08	$91.08	$262.75
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $28,409.00	Facility		$161.00	$950.00	$28,409.00