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 / $11,210.00	Facility		$969.00	$3,570.00	$11,210.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,218.39 / $2,044.72 / $6,566.92	Facility		$1,218.39	$2,044.72	$6,566.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,112.72 / $1,112.72 / $1,142.97	Facility		$1,112.72	$1,112.72	$1,142.97
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 $135.26 / $135.26 / $135.26	Facility	AS	$135.26	$135.26	$135.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,800.00 / $10,932.32	Facility		$55.00	$2,800.00	$10,932.32
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $268.41 / $550.88 / $590.26	Facility	AS	$268.41	$550.88	$590.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,158.95 / $1,440.15 / $2,709.25	Facility		$1,158.95	$1,440.15	$2,709.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,161.28 / $1,454.65 / $2,773.15	Facility		$1,161.28	$1,454.65	$2,773.15
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $464.20 / $464.20 / $464.20	Facility	80	$464.20	$464.20	$464.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $135.26 / $394.57 / $394.57	Facility	AS	$135.26	$394.57	$394.57
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