Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.48 / $3,596.00 / $13,004.00	Facility		$973.48	$3,596.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,163.54 / $18,089.08 / $35,940.14	Facility		$9,163.54	$18,089.08	$35,940.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $838.12 / $11,285.51 / $11,285.51	Facility		$838.12	$11,285.51	$11,285.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.44 / $1,056.44 / $1,056.44	Facility		$1,056.44	$1,056.44	$1,056.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.91 / $104.91 / $104.91	Facility	AS	$104.91	$104.91	$104.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,363.05 / $26,542.00 / $50,868.20	Facility		$4,363.05	$26,542.00	$50,868.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $211.89 / $4,821.58 / $4,821.58	Facility	AS	$211.89	$4,821.58	$4,821.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $862.05 / $1,066.24 / $1,738.24	Facility		$862.05	$1,066.24	$1,738.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.88 / $1,068.68 / $1,873.19	Facility		$870.88	$1,068.68	$1,873.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $104.91 / $104.91 / $301.20	Facility	AS	$104.91	$104.91	$301.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,358.00 / $16,982.00	Facility		$2,605.00	$7,358.00	$16,982.00