Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,511.00 / $11,232.00	Facility		$895.00	$3,511.00	$11,232.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,200.89 / $4,200.89 / $4,200.89	Facility	50	$4,200.89	$4,200.89	$4,200.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,300.00 / $6,164.09 / $14,543.00	Facility		$3,300.00	$6,164.09	$14,543.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $201.50 / $211.86	Facility		$80.00	$201.50	$211.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.22 / $3,603.00 / $6,702.00	Facility		$265.22	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $26.02 / $26.02 / $26.02	Facility	AS	$26.02	$26.02	$26.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,032.40 / $6,821.50 / $32,000.00	Facility		$3,032.40	$6,821.50	$32,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $50.30 / $105.67 / $109.98	Facility	AS	$50.30	$105.67	$109.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.71 / $258.33 / $426.33	Facility		$200.71	$258.33	$426.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.71 / $260.08 / $436.39	Facility		$200.71	$260.08	$436.39
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $72.45 / $72.45 / $72.45	Facility	80	$72.45	$72.45	$72.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $26.02 / $26.02 / $61.59	Facility	AS	$26.02	$26.02	$61.59
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $3,695.00	Facility		$161.00	$950.00	$3,695.00