Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.30 / $3,620.00 / $12,480.00	Facility		$941.30	$3,620.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $995.37 / $1,679.68 / $5,963.80	Facility		$995.37	$1,679.68	$5,963.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $879.56 / $900.86	Facility		$80.00	$879.56	$900.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,129.30 / $1,129.30 / $1,129.30	Facility		$1,129.30	$1,129.30	$1,129.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.81 / $111.81 / $111.81	Facility	AS	$111.81	$111.81	$111.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $6,814.68	Facility		$55.00	$2,000.00	$6,814.68
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $224.19 / $456.72 / $494.57	Facility	AS	$224.19	$456.72	$494.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $968.43 / $1,279.45 / $2,023.20	Facility		$968.43	$1,279.45	$2,023.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.43 / $1,279.45 / $2,030.39	Facility		$968.43	$1,279.45	$2,030.39
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $379.53 / $379.53 / $379.53	Facility	80	$379.53	$379.53	$379.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $111.81 / $111.81 / $322.60	Facility	AS	$111.81	$111.81	$322.60
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