Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,549.93 / $18,197.01	Facility		$5,128.61	$9,549.93	$18,197.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $6,918.31 / $6,918.31	Facility		$691.83	$6,918.31	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,918.31 / $6,918.31	Facility		$3,630.78	$6,918.31	$6,918.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,952.62	Facility		$1,995.26	$1,995.26	$19,952.62
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	AS	$1,995.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $3,890.45	Facility		$724.44	$1,071.52	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,737.80	Facility		$724.44	$1,000.00	$1,737.80
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	AS	$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01