Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $3,596.00 / $12,281.00	Facility		$799.00	$3,596.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $811.04 / $1,348.17 / $6,013.02	Facility		$811.04	$1,348.17	$6,013.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $705.19 / $795.85 / $795.85	Facility		$705.19	$795.85	$795.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $892.03 / $892.03 / $892.03	Facility		$892.03	$892.03	$892.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.39 / $87.39 / $87.39	Facility	AS	$87.39	$87.39	$87.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,255.94	Facility		$55.00	$55.00	$5,255.94
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.15 / $354.84 / $373.55	Facility	AS	$172.15	$354.84	$373.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $751.67 / $981.72 / $1,577.96	Facility		$751.67	$981.72	$1,577.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.81 / $987.03 / $1,659.87	Facility		$751.81	$987.03	$1,659.87
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $300.39 / $300.39 / $300.39	Facility	80	$300.39	$300.39	$300.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $87.39 / $87.39 / $255.33	Facility	AS	$87.39	$87.39	$255.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00