Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,826.00	Facility		$969.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,124.76 / $1,921.47 / $8,982.00	Facility		$1,124.76	$1,921.47	$8,982.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,009.86 / $1,031.77	Facility		$80.00	$1,009.86	$1,031.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,280.74 / $1,280.74 / $1,280.74	Facility		$1,280.74	$1,280.74	$1,280.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $127.13 / $127.13 / $127.13	Facility	AS	$127.13	$127.13	$127.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,061.08	Facility		$55.00	$55.00	$9,061.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $255.75 / $520.29 / $565.88	Facility	AS	$255.75	$520.29	$565.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.41 / $1,437.87 / $2,257.39	Facility		$1,100.41	$1,437.87	$2,257.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,100.41 / $1,437.87 / $2,271.94	Facility		$1,100.41	$1,437.87	$2,271.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $430.79 / $430.79 / $430.79	Facility	80	$430.79	$430.79	$430.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $127.13 / $127.13 / $366.17	Facility	AS	$127.13	$127.13	$366.17
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