Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,826.00	Facility		$969.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,670.39 / $24,078.58 / $48,476.08	Facility		$14,670.39	$24,078.58	$48,476.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $983.58 / $1,014.72	Facility		$80.00	$983.58	$1,014.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.95 / $1,217.95 / $1,217.95	Facility		$1,217.95	$1,217.95	$1,217.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.06 / $121.06 / $121.06	Facility	AS	$121.06	$121.06	$121.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $79,924.50	Facility		$55.00	$55.00	$79,924.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $234.05 / $7,575.71 / $7,575.71	Facility	AS	$234.05	$7,575.71	$7,575.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $947.21 / $1,165.02 / $2,151.21	Facility		$947.21	$1,165.02	$2,151.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $963.54 / $1,191.42 / $2,167.54	Facility		$963.54	$1,191.42	$2,167.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $121.06 / $121.06 / $348.37	Facility	AS	$121.06	$121.06	$348.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00