Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $3,504.00 / $10,649.00	Facility		$789.00	$3,504.00	$10,649.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.38 / $331.93 / $2,716.35	Facility		$192.38	$331.93	$2,716.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.12 / $178.64 / $178.64	Facility		$162.12	$178.64	$178.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.25 / $2,277.00 / $4,619.00	Facility		$211.25	$2,277.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.54 / $20.54 / $20.54	Facility	AS	$20.54	$20.54	$20.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $879.61 / $2,800.00	Facility		$55.00	$879.61	$2,800.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $41.62 / $83.87 / $87.96	Facility	AS	$41.62	$83.87	$87.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $223.55 / $416.39	Facility		$176.32	$223.55	$416.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.56 / $227.92 / $426.21	Facility		$176.56	$227.92	$426.21
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $70.92 / $70.92 / $70.92	Facility	80	$70.92	$70.92	$70.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $20.54 / $60.28 / $60.28	Facility	AS	$20.54	$60.28	$60.28
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,860.00 / $8,792.00	Facility		$385.00	$1,860.00	$8,792.00