Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.00 / $3,213.00 / $11,453.00	Facility		$809.00	$3,213.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,598.59 / $2,656.51 / $6,823.92	Facility		$1,598.59	$2,656.51	$6,823.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,403.62 / $1,438.62	Facility		$80.00	$1,403.62	$1,438.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,802.76 / $1,802.76 / $1,802.76	Facility		$1,802.76	$1,802.76	$1,802.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $178.36 / $178.36 / $178.36	Facility	AS	$178.36	$178.36	$178.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,964.56	Facility		$55.00	$55.00	$19,964.56
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $357.98 / $730.11 / $789.44	Facility	AS	$357.98	$730.11	$789.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,546.14 / $1,970.57 / $3,236.55	Facility		$1,546.14	$1,970.57	$3,236.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,546.14 / $1,984.17 / $3,300.00	Facility		$1,546.14	$1,984.17	$3,300.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $605.78 / $605.78 / $605.78	Facility	80	$605.78	$605.78	$605.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $178.36 / $178.36 / $514.91	Facility	AS	$178.36	$178.36	$514.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00