Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,442.00 / $10,608.00	Facility		$921.00	$3,442.00	$10,608.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.34 / $4,036.25 / $10,757.13	Facility	50	$1,412.34	$4,036.25	$10,757.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,032.71 / $7,960.68 / $15,607.12	Facility		$4,032.71	$7,960.68	$15,607.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $710.62 / $8,242.45 / $8,242.45	Facility		$710.62	$8,242.45	$8,242.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,850.42 / $3,850.42 / $3,850.42	Facility		$3,850.42	$3,850.42	$3,850.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $179.89 / $1,442.13 / $1,442.13	Facility	AS	$179.89	$1,442.13	$1,442.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $740.71 / $1,007.10 / $1,693.86	Facility		$740.71	$1,007.10	$1,693.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $740.71 / $1,011.44 / $1,890.00	Facility		$740.71	$1,011.44	$1,890.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $255.87 / $255.87 / $255.87	Facility	AS	$255.87	$255.87	$255.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00