Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.03 / $3,213.00 / $10,893.00	Facility		$722.03	$3,213.00	$10,893.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,757.00 / $2,757.00 / $4,665.00	Facility	50	$2,757.00	$2,757.00	$4,665.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,380.71 / $4,325.17 / $8,294.46	Facility		$2,380.71	$4,325.17	$8,294.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $433.50 / $448.24	Facility		$80.00	$433.50	$448.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.34 / $541.34 / $541.34	Facility		$541.34	$541.34	$541.34
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.24 / $53.24 / $53.24	Facility	AS	$53.24	$53.24	$53.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,770.44 / $11,500.00 / $26,542.00	Facility		$1,770.44	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $104.52 / $849.00 / $849.00	Facility	AS	$104.52	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.05 / $630.00 / $988.21	Facility		$460.05	$630.00	$988.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.05 / $636.66 / $1,051.34	Facility		$460.05	$636.66	$1,051.34
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $183.21 / $183.21 / $183.21	Facility	80	$183.21	$183.21	$183.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $53.24 / $53.24 / $155.72	Facility	AS	$53.24	$53.24	$155.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00