Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,396.00 / $7,316.00	Facility		$652.00	$2,396.00	$7,316.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,243.73 / $1,243.73 / $2,172.55	Facility	50	$1,243.73	$1,243.73	$2,172.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,816.01 / $4,816.97 / $9,997.51	Facility		$2,816.01	$4,816.97	$9,997.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $420.96 / $3,040.39 / $3,040.39	Facility		$420.96	$3,040.39	$3,040.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,207.78 / $2,207.78 / $2,207.78	Facility		$2,207.78	$2,207.78	$2,207.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,723.79	Facility		$55.00	$55.00	$8,723.79
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $99.81 / $826.90 / $826.90	Facility	AS	$99.81	$826.90	$826.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $418.70 / $487.54 / $962.67	Facility		$418.70	$487.54	$962.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $418.70 / $507.08 / $1,150.71	Facility		$418.70	$507.08	$1,150.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $145.13 / $145.13 / $145.13	Facility	AS	$145.13	$145.13	$145.13
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