Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $11,930.00	Facility		$969.00	$3,682.00	$11,930.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,297.65 / $3,737.93 / $12,316.02	Facility		$2,297.65	$3,737.93	$12,316.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,116.56 / $2,116.56 / $2,193.19	Facility		$2,116.56	$2,116.56	$2,193.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,628.99 / $1,628.99 / $1,628.99	Facility	62	$1,628.99	$1,628.99	$1,628.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $260.64 / $260.64 / $260.64	Facility	AS	$260.64	$260.64	$260.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $36,730.96	Facility		$55.00	$55.00	$36,730.96
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,204.05 / $6,641.86 / $7,017.41	Facility	62	$3,204.05	$6,641.86	$7,017.41
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $512.65 / $1,062.70 / $1,122.79	Facility	AS	$512.65	$1,062.70	$1,122.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,199.98 / $2,670.60 / $4,731.16	Facility		$2,199.98	$2,670.60	$4,731.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,201.42 / $2,706.98 / $5,301.51	Facility		$2,201.42	$2,706.98	$5,301.51
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,628.99 / $3,486.03 / $3,486.03	Facility	62	$1,628.99	$3,486.03	$3,486.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $892.42 / $892.42 / $892.42	Facility	80	$892.42	$892.42	$892.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $260.64 / $758.56 / $758.56	Facility	AS	$260.64	$758.56	$758.56
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