Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,766.00 / $13,401.00	Facility		$945.00	$3,766.00	$13,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.93 / $1,205.63 / $5,959.92	Facility		$727.93	$1,205.63	$5,959.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $695.67 / $716.23	Facility		$80.00	$695.67	$716.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.68 / $840.68 / $840.68	Facility		$840.68	$840.68	$840.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.44 / $83.44 / $83.44	Facility	AS	$83.44	$83.44	$83.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $11,808.72	Facility		$55.00	$5,000.00	$11,808.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $163.83 / $342.12 / $368.52	Facility	AS	$163.83	$342.12	$368.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.23 / $909.76 / $1,450.78	Facility		$707.23	$909.76	$1,450.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.23 / $916.27 / $1,463.40	Facility		$707.23	$916.27	$1,463.40
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $281.50 / $281.50 / $281.50	Facility	80	$281.50	$281.50	$281.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.44 / $83.44 / $239.27	Facility	AS	$83.44	$83.44	$239.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,953.00 / $16,194.00	Facility		$2,614.00	$7,953.00	$16,194.00