Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,941.00	Facility		$935.00	$3,682.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.12 / $1,626.97 / $5,816.53	Facility		$970.12	$1,626.97	$5,816.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $862.14 / $882.01	Facility		$80.00	$862.14	$882.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.91 / $1,096.91 / $1,096.91	Facility		$1,096.91	$1,096.91	$1,096.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $108.71 / $108.71 / $108.71	Facility	AS	$108.71	$108.71	$108.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $7,753.69	Facility		$55.00	$2,000.00	$7,753.69
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $218.70 / $445.36 / $483.14	Facility	AS	$218.70	$445.36	$483.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $944.40 / $1,234.35 / $1,946.59	Facility		$944.40	$1,234.35	$1,946.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $944.40 / $1,235.08 / $1,966.69	Facility		$944.40	$1,235.08	$1,966.69
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $369.00 / $369.00 / $369.00	Facility	80	$369.00	$369.00	$369.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $108.71 / $108.71 / $313.64	Facility	AS	$108.71	$108.71	$313.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00