Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,213.00 / $10,048.00	Facility		$872.00	$3,213.00	$10,048.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,530.43 / $8,853.29 / $17,660.22	Facility		$4,530.43	$8,853.29	$17,660.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $902.19 / $8,715.90 / $8,715.90	Facility		$902.19	$8,715.90	$8,715.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.06 / $1,133.06 / $1,133.06	Facility		$1,133.06	$1,133.06	$1,133.06
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,736.24 / $19,913.50 / $26,542.00	Facility		$3,736.24	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $228.98 / $1,887.52 / $1,887.52	Facility	AS	$228.98	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $952.92 / $1,191.83 / $1,861.04	Facility		$952.92	$1,191.83	$1,861.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $952.92 / $1,198.96 / $1,926.90	Facility		$952.92	$1,198.96	$1,926.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $319.00	Facility	AS	$112.33	$112.33	$319.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $6,662.00 / $13,237.00	Facility		$2,211.00	$6,662.00	$13,237.00