Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,553.00 / $12,281.00	Facility		$969.00	$3,553.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,075.46 / $17,970.07 / $35,464.12	Facility		$8,075.46	$17,970.07	$35,464.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $965.06 / $1,050.22 / $1,050.22	Facility		$965.06	$1,050.22	$1,050.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.17 / $1,232.17 / $1,232.17	Facility		$1,232.17	$1,232.17	$1,232.17
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $122.40 / $122.40 / $122.40	Facility	AS	$122.40	$122.40	$122.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,068.89 / $26,542.00 / $50,942.85	Facility		$5,068.89	$26,542.00	$50,942.85
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $246.18 / $4,828.66 / $4,828.66	Facility	AS	$246.18	$4,828.66	$4,828.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,056.58 / $1,380.31 / $2,117.27	Facility		$1,056.58	$1,380.31	$2,117.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,056.58 / $1,382.77 / $2,214.63	Facility		$1,056.58	$1,382.77	$2,214.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $122.40 / $122.40 / $352.20	Facility	AS	$122.40	$122.40	$352.20
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