Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,762.00 / $13,004.00	Facility		$969.00	$3,762.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.22 / $1,573.58 / $5,611.17	Facility		$927.22	$1,573.58	$5,611.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $860.59 / $860.59 / $891.37	Facility		$860.59	$860.59	$891.37
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 $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,459.12	Facility		$55.00	$55.00	$8,459.12
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $206.23 / $428.11 / $453.29	Facility	AS	$206.23	$428.11	$453.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $890.33 / $1,111.65 / $1,909.28	Facility		$890.33	$1,111.65	$1,909.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $890.71 / $1,114.67 / $2,120.91	Facility		$890.71	$1,114.67	$2,120.91
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $358.72 / $358.72 / $358.72	Facility	80	$358.72	$358.72	$358.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $304.91 / $304.91	Facility	AS	$104.84	$304.91	$304.91
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