Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,893.00	Facility		$969.00	$3,570.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,342.75 / $2,274.21 / $7,895.05	Facility		$1,342.75	$2,274.21	$7,895.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,242.96 / $1,242.96 / $1,289.41	Facility		$1,242.96	$1,242.96	$1,289.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $152.11 / $152.11 / $152.11	Facility	AS	$152.11	$152.11	$152.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,268.80	Facility		$55.00	$55.00	$12,268.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $299.68 / $621.27 / $656.13	Facility	AS	$299.68	$621.27	$656.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.09 / $1,481.22 / $2,763.07	Facility		$1,154.09	$1,481.22	$2,763.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,169.59 / $1,489.09 / $3,084.39	Facility		$1,169.59	$1,489.09	$3,084.39
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $520.99 / $520.99 / $520.99	Facility	80	$520.99	$520.99	$520.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $152.11 / $442.84 / $442.84	Facility	AS	$152.11	$442.84	$442.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00