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 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,503.39 / $9,391.66 / $19,142.24	Facility		$5,503.39	$9,391.66	$19,142.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $916.39 / $8,563.31 / $8,563.31	Facility		$916.39	$8,563.31	$8,563.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.07 / $1,178.07 / $1,178.07	Facility		$1,178.07	$1,178.07	$1,178.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.84 / $116.84 / $116.84	Facility	AS	$116.84	$116.84	$116.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,891.44 / $25,961.25 / $26,542.00	Facility		$3,891.44	$25,961.25	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $236.73 / $2,460.76 / $2,460.76	Facility	AS	$236.73	$2,460.76	$2,460.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.76 / $1,404.97 / $2,180.08	Facility		$1,019.76	$1,404.97	$2,180.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,019.76 / $1,407.72 / $2,280.10	Facility		$1,019.76	$1,407.72	$2,280.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $116.84 / $116.84 / $336.47	Facility	AS	$116.84	$116.84	$336.47
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