Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,553.00 / $11,757.90	Facility		$872.00	$3,553.00	$11,757.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,570.19 / $6,570.19 / $6,570.19	Facility	50	$6,570.19	$6,570.19	$6,570.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,651.42 / $4,664.01 / $9,265.83	Facility		$2,651.42	$4,664.01	$9,265.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $592.80 / $3,136.54 / $3,136.54	Facility		$592.80	$3,136.54	$3,136.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.38 / $2,418.96 / $4,939.00	Facility		$1,823.38	$2,418.96	$4,939.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.36 / $71.36 / $71.36	Facility	AS	$71.36	$71.36	$71.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,558.29 / $11,723.00 / $26,542.00	Facility		$9,558.29	$11,723.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $140.40 / $905.99 / $905.99	Facility	AS	$140.40	$905.99	$905.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $605.90 / $756.23 / $1,359.35	Facility		$605.90	$756.23	$1,359.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $605.90 / $773.63 / $1,431.94	Facility		$605.90	$773.63	$1,431.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $243.73 / $243.73 / $243.73	Facility	80	$243.73	$243.73	$243.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $71.36 / $207.17 / $207.17	Facility	AS	$71.36	$207.17	$207.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,330.00 / $10,600.00	Facility		$1,634.00	$4,330.00	$10,600.00