Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.51 / $3,570.00 / $10,893.00	Facility		$212.51	$3,570.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.26 / $235.17 / $801.92	Facility		$145.26	$235.17	$801.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.14 / $124.14 / $129.68	Facility		$124.14	$124.14	$129.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.57 / $2,024.00 / $4,619.00	Facility		$160.57	$2,024.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $15.62 / $15.62	Facility	AS	$15.62	$15.62	$15.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $31.20 / $63.58 / $66.05	Facility	AS	$31.20	$63.58	$66.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.50 / $176.18 / $324.08	Facility		$134.50	$176.18	$324.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.66 / $177.66 / $376.63	Facility		$134.66	$177.66	$376.63
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $53.96 / $53.96 / $53.96	Facility	80	$53.96	$53.96	$53.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $45.87 / $45.87	Facility	AS	$15.62	$45.87	$45.87
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