Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,500.00 / $11,232.00	Facility		$872.00	$3,500.00	$11,232.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.10 / $9,032.74 / $17,886.03	Facility		$4,606.10	$9,032.74	$17,886.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $593.29 / $598.40	Facility		$80.00	$593.29	$598.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.61 / $727.61 / $727.61	Facility		$727.61	$727.61	$727.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $72.09 / $72.09 / $72.09	Facility	AS	$72.09	$72.09	$72.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,396.04 / $19,913.50 / $26,542.00	Facility		$2,396.04	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $148.52 / $1,887.52 / $1,887.52	Facility	AS	$148.52	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.23 / $795.00 / $1,248.44	Facility		$625.23	$795.00	$1,248.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $625.23 / $797.88 / $1,277.36	Facility		$625.23	$797.88	$1,277.36
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $244.11 / $244.11 / $244.11	Facility	80	$244.11	$244.11	$244.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $72.09 / $72.09 / $207.50	Facility	AS	$72.09	$72.09	$207.50
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