Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,856.00 / $13,637.25	Facility		$945.00	$3,856.00	$13,637.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.20 / $1,143.51 / $5,491.76	Facility		$683.20	$1,143.51	$5,491.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $671.29 / $690.43	Facility		$80.00	$671.29	$690.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.07 / $809.07 / $809.07	Facility		$809.07	$809.07	$809.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.45 / $80.45 / $80.45	Facility	AS	$80.45	$80.45	$80.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $11,371.08	Facility		$55.00	$5,000.00	$11,371.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $157.93 / $329.26 / $355.29	Facility	AS	$157.93	$329.26	$355.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $680.51 / $869.32 / $1,500.00	Facility		$680.51	$869.32	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $680.51 / $872.88 / $1,541.16	Facility		$680.51	$872.88	$1,541.16
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $270.32 / $270.32 / $270.32	Facility	80	$270.32	$270.32	$270.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.45 / $80.45 / $229.77	Facility	AS	$80.45	$80.45	$229.77
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