Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,596.00 / $12,040.00	Facility		$921.00	$3,596.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,105.42 / $1,856.31 / $7,801.05	Facility		$1,105.42	$1,856.31	$7,801.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $516.73 / $516.73 / $1,015.92	Facility		$516.73	$516.73	$1,015.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,235.10 / $1,235.10 / $1,235.10	Facility		$1,235.10	$1,235.10	$1,235.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $122.70 / $122.70 / $122.70	Facility	AS	$122.70	$122.70	$122.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,141.19	Facility		$55.00	$55.00	$11,141.19
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $240.08 / $502.44 / $537.61	Facility	AS	$240.08	$502.44	$537.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.79 / $1,330.04 / $2,227.23	Facility		$1,035.79	$1,330.04	$2,227.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,039.58 / $1,333.50 / $2,283.39	Facility		$1,039.58	$1,333.50	$2,283.39
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $414.35 / $414.35 / $414.35	Facility	80	$414.35	$414.35	$414.35
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $122.70 / $122.70 / $352.20	Facility	AS	$122.70	$122.70	$352.20
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00