Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.96 / $3,466.00 / $13,004.00	Facility		$856.96	$3,466.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,383.76 / $9,451.48 / $19,142.24	Facility		$5,383.76	$9,451.48	$19,142.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $823.58 / $5,245.52 / $5,245.52	Facility		$823.58	$5,245.52	$5,245.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.88 / $1,031.88 / $1,031.88	Facility		$1,031.88	$1,031.88	$1,031.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.45 / $102.45 / $102.45	Facility	AS	$102.45	$102.45	$102.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,407.04 / $26,542.00 / $26,693.15	Facility		$3,407.04	$26,542.00	$26,693.15
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $207.43 / $2,530.14 / $2,530.14	Facility	AS	$207.43	$2,530.14	$2,530.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $868.94 / $1,109.24 / $1,825.98	Facility		$868.94	$1,109.24	$1,825.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.94 / $1,109.24 / $1,836.82	Facility		$868.94	$1,109.24	$1,836.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $102.45 / $102.45 / $293.55	Facility	AS	$102.45	$102.45	$293.55
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