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 $1,372.83 / $2,332.33 / $8,982.00	Facility		$1,372.83	$2,332.33	$8,982.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,261.97 / $1,261.97 / $1,312.62	Facility		$1,261.97	$1,261.97	$1,312.62
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 $156.62 / $156.62 / $156.62	Facility	AS	$156.62	$156.62	$156.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,605.20	Facility		$55.00	$55.00	$12,605.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $310.75 / $638.23 / $670.48	Facility	AS	$310.75	$638.23	$670.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.53 / $1,521.96 / $2,865.40	Facility		$1,178.53	$1,521.96	$2,865.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,187.58 / $1,534.28 / $3,203.27	Facility		$1,187.58	$1,534.28	$3,203.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $537.69 / $537.69 / $537.69	Facility	80	$537.69	$537.69	$537.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $156.62 / $457.04 / $457.04	Facility	AS	$156.62	$457.04	$457.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00