Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,682.00 / $12,040.00	Facility		$788.00	$3,682.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,433.08 / $2,476.27 / $5,295.16	Facility		$1,433.08	$2,476.27	$5,295.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $658.73 / $658.73 / $678.04	Facility		$658.73	$658.73	$678.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.48 / $2,024.00 / $4,619.00	Facility		$799.48	$2,024.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.00 / $79.00 / $79.00	Facility	AS	$79.00	$79.00	$79.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,378.24	Facility		$55.00	$55.00	$6,378.24
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $155.79 / $382.77 / $382.77	Facility	AS	$155.79	$382.77	$382.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.13 / $810.69 / $1,440.00	Facility		$663.13	$810.69	$1,440.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $665.92 / $814.21 / $1,587.55	Facility		$665.92	$814.21	$1,587.55
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $270.19 / $270.19 / $270.19	Facility	80	$270.19	$270.19	$270.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $79.00 / $229.66 / $229.66	Facility	AS	$79.00	$229.66	$229.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00