Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,792.00 / $10,234.00	Facility		$803.00	$3,792.00	$10,234.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.49 / $262.49 / $1,385.26	Facility		$157.49	$262.49	$1,385.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $139.19 / $145.80	Facility		$139.19	$139.19	$145.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $2,277.00 / $4,619.00	Facility		$179.16	$2,277.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $17.41	Facility	AS	$17.41	$17.41	$17.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $732.07 / $2,800.00	Facility		$55.00	$732.07	$2,800.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $34.72 / $70.70 / $73.20	Facility	AS	$34.72	$70.70	$73.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.74 / $186.32 / $350.78	Facility		$147.74	$186.32	$350.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.74 / $187.97 / $359.74	Facility		$147.74	$187.97	$359.74
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $60.13 / $60.13 / $60.13	Facility	80	$60.13	$60.13	$60.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $51.11 / $51.11	Facility	AS	$17.41	$51.11	$51.11
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00