Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,339.00 / $10,836.00	Facility		$797.00	$3,339.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,840.09 / $8,972.92 / $17,945.84	Facility		$4,840.09	$8,972.92	$17,945.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $604.86 / $6,298.85 / $6,298.85	Facility		$604.86	$6,298.85	$6,298.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.18 / $749.18 / $749.18	Facility		$749.18	$749.18	$749.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.45 / $74.45 / $74.45	Facility	AS	$74.45	$74.45	$74.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,089.35 / $25,593.60 / $26,542.00	Facility		$3,089.35	$25,593.60	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $151.02 / $2,425.91 / $2,425.91	Facility	AS	$151.02	$2,425.91	$2,425.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.14 / $841.00 / $1,291.69	Facility		$636.14	$841.00	$1,291.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.14 / $843.12 / $1,341.15	Facility		$636.14	$843.12	$1,341.15
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $250.28 / $250.28 / $250.28	Facility	80	$250.28	$250.28	$250.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $74.45 / $74.45 / $212.74	Facility	AS	$74.45	$74.45	$212.74
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