Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $12,941.00	Facility		$969.00	$3,596.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,065.76 / $1,800.34 / $8,242.65	Facility		$1,065.76	$1,800.34	$8,242.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $984.10 / $984.10 / $1,007.05	Facility		$984.10	$984.10	$1,007.05
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 $120.64 / $120.64 / $120.64	Facility	AS	$120.64	$120.64	$120.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,360.32	Facility		$55.00	$55.00	$7,360.32
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $243.10 / $492.14 / $528.88	Facility	AS	$243.10	$492.14	$528.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,034.98 / $1,272.69 / $2,239.39	Facility		$1,034.98	$1,272.69	$2,239.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,034.98 / $1,290.27 / $2,461.11	Facility		$1,034.98	$1,290.27	$2,461.11
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $410.49 / $410.49 / $410.49	Facility	80	$410.49	$410.49	$410.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $120.64 / $348.92 / $348.92	Facility	AS	$120.64	$348.92	$348.92
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