Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $3,611.00 / $12,826.00	Facility		$993.00	$3,611.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,017.86 / $3,565.54 / $8,792.01	Facility		$2,017.86	$3,565.54	$8,792.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,647.28 / $1,691.47	Facility		$80.00	$1,647.28	$1,691.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.46 / $2,125.46 / $2,125.46	Facility		$2,125.46	$2,125.46	$2,125.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $209.94 / $209.94 / $209.94	Facility	AS	$209.94	$209.94	$209.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,742.39	Facility		$55.00	$55.00	$27,742.39
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $420.58 / $858.79 / $925.85	Facility	AS	$420.58	$858.79	$925.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.82 / $2,372.60 / $3,659.40	Facility		$1,819.82	$2,372.60	$3,659.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,820.20 / $2,374.41 / $3,827.92	Facility		$1,820.20	$2,374.41	$3,827.92
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $713.06 / $713.06 / $713.06	Facility	80	$713.06	$713.06	$713.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $209.94 / $209.94 / $606.10	Facility	AS	$209.94	$209.94	$606.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,079.00 / $5,918.00 / $12,900.00	Facility		$2,079.00	$5,918.00	$12,900.00