Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,213.00 / $11,453.00	Facility		$767.00	$3,213.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,074.10 / $9,391.66 / $17,945.84	Facility		$5,074.10	$9,391.66	$17,945.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $685.39 / $6,476.47 / $6,476.47	Facility		$685.39	$6,476.47	$6,476.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.98 / $3,603.00 / $6,702.00	Facility		$875.98	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.09 / $87.09 / $87.09	Facility	AS	$87.09	$87.09	$87.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $19,913.50	Facility		$55.00	$2,000.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $173.35 / $1,887.52 / $1,887.52	Facility	AS	$173.35	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $745.41 / $948.12 / $1,481.70	Facility		$745.41	$948.12	$1,481.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $747.01 / $949.58 / $1,560.82	Facility		$747.01	$949.58	$1,560.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $87.09 / $87.09 / $252.38	Facility	AS	$87.09	$87.09	$252.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00