Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,181.00 / $7,513.00	Facility		$632.00	$2,181.00	$7,513.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.37 / $1,253.28 / $6,018.96	Facility		$750.37	$1,253.28	$6,018.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $656.41 / $692.06	Facility		$80.00	$656.41	$692.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $858.84 / $858.84 / $858.84	Facility		$858.84	$858.84	$858.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $84.30	Facility	AS	$84.30	$84.30	$84.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $11,763.36	Facility		$55.00	$5,000.00	$11,763.36
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $162.61 / $343.79 / $356.45	Facility	AS	$162.61	$343.79	$356.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $726.55 / $996.70 / $1,689.11	Facility		$726.55	$996.70	$1,689.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $726.55 / $997.14 / $1,712.86	Facility		$726.55	$997.14	$1,712.86
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $286.64 / $286.64 / $286.64	Facility	80	$286.64	$286.64	$286.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $243.64	Facility	AS	$84.30	$84.30	$243.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $28,862.00	Facility		$2,600.00	$7,123.00	$28,862.00