Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,153.00 / $7,513.00	Facility		$488.00	$2,153.00	$7,513.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.27 / $624.38 / $3,161.99	Facility		$363.27	$624.38	$3,161.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $192.32 / $310.26	Facility		$192.32	$192.32	$310.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.17 / $408.17 / $408.17	Facility		$408.17	$408.17	$408.17
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $250.26 / $250.26 / $250.26	Facility	62	$250.26	$250.26	$250.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.04 / $40.04 / $40.04	Facility	AS	$40.04	$40.04	$40.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $5,614.28	Facility		$55.00	$5,000.00	$5,614.28
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $487.88 / $1,020.88 / $1,066.49	Facility	62	$487.88	$1,020.88	$1,066.49
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $78.06 / $163.34 / $170.64	Facility	AS	$78.06	$163.34	$170.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $345.50 / $464.82 / $743.52	Facility		$345.50	$464.82	$743.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $345.50 / $469.19 / $762.35	Facility		$345.50	$469.19	$762.35
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $250.26 / $250.26 / $531.99	Facility	62	$250.26	$250.26	$531.99
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $136.19 / $136.19 / $136.19	Facility	80	$136.19	$136.19	$136.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $40.04 / $40.04 / $115.76	Facility	AS	$40.04	$40.04	$115.76
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $28,409.00	Facility		$161.00	$950.00	$28,409.00