Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.80 / $3,601.00 / $12,826.00	Facility		$961.80	$3,601.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,193.27 / $2,026.07 / $9,036.54	Facility		$1,193.27	$2,026.07	$9,036.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,063.28 / $1,110.42 / $1,110.42	Facility		$1,063.28	$1,110.42	$1,110.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,352.50 / $1,352.50 / $1,352.50	Facility		$1,352.50	$1,352.50	$1,352.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $134.18 / $134.18 / $134.18	Facility	AS	$134.18	$134.18	$134.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,557.79	Facility		$55.00	$55.00	$9,557.79
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $269.81 / $548.76 / $596.48	Facility	AS	$269.81	$548.76	$596.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,155.63 / $1,469.73 / $2,360.63	Facility		$1,155.63	$1,469.73	$2,360.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,155.63 / $1,479.58 / $2,397.98	Facility		$1,155.63	$1,479.58	$2,397.98
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $454.43 / $454.43 / $454.43	Facility	80	$454.43	$454.43	$454.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $134.18 / $134.18 / $386.27	Facility	AS	$134.18	$134.18	$386.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00