Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,893.00	Facility		$945.00	$3,570.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,296.54 / $2,211.83 / $9,631.00	Facility		$1,296.54	$2,211.83	$9,631.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $700.21 / $700.21 / $1,202.24	Facility		$700.21	$700.21	$1,202.24
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 $146.97 / $146.97 / $146.97	Facility	AS	$146.97	$146.97	$146.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,876.96	Facility		$55.00	$55.00	$11,876.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $290.43 / $600.67 / $635.88	Facility	AS	$290.43	$600.67	$635.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,108.28 / $1,443.31 / $2,669.17	Facility		$1,108.28	$1,443.31	$2,669.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,115.97 / $1,464.41 / $2,981.17	Facility		$1,115.97	$1,464.41	$2,981.17
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $503.13 / $503.13 / $503.13	Facility	80	$503.13	$503.13	$503.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $146.97 / $427.66 / $427.66	Facility	AS	$146.97	$427.66	$427.66
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