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 $1,036.96 / $1,743.71 / $6,112.74	Facility		$1,036.96	$1,743.71	$6,112.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $946.27 / $946.27 / $976.22	Facility		$946.27	$946.27	$976.22
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 $115.95 / $115.95 / $115.95	Facility	AS	$115.95	$115.95	$115.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,382.64	Facility		$55.00	$55.00	$9,382.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $230.23 / $473.22 / $503.28	Facility	AS	$230.23	$473.22	$503.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $990.17 / $1,241.58 / $2,137.23	Facility		$990.17	$1,241.58	$2,137.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.43 / $1,256.77 / $2,364.91	Facility		$991.43	$1,256.77	$2,364.91
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $396.49 / $396.49 / $396.49	Facility	80	$396.49	$396.49	$396.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $115.95 / $337.02 / $337.02	Facility	AS	$115.95	$337.02	$337.02
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