Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.76 / $3,445.00 / $10,836.00	Facility		$450.76	$3,445.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.47 / $587.35 / $3,086.71	Facility		$349.47	$587.35	$3,086.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $309.02 / $309.02 / $322.14	Facility		$309.02	$309.02	$322.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.09 / $2,024.00 / $4,619.00	Facility		$401.09	$2,024.00	$4,619.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $243.96 / $243.96 / $243.96	Facility	62	$243.96	$243.96	$243.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $39.03 / $39.03 / $39.03	Facility	AS	$39.03	$39.03	$39.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,657.85	Facility		$55.00	$55.00	$1,657.85
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $488.91 / $992.48 / $1,036.16	Facility	62	$488.91	$992.48	$1,036.16
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $78.23 / $158.80 / $165.79	Facility	AS	$78.23	$158.80	$165.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.68 / $439.86 / $781.64	Facility		$335.68	$439.86	$781.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.35 / $444.49 / $801.60	Facility		$336.35	$444.49	$801.60
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $243.96 / $522.96 / $522.96	Facility	62	$243.96	$522.96	$522.96
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $133.88 / $133.88 / $133.88	Facility	80	$133.88	$133.88	$133.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $39.03 / $113.80 / $113.80	Facility	AS	$39.03	$113.80	$113.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,648.00 / $13,237.00	Facility		$2,093.00	$5,648.00	$13,237.00