Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,601.00 / $12,729.00	Facility		$923.00	$3,601.00	$12,729.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,487.17 / $4,352.55 / $8,431.35	Facility		$2,487.17	$4,352.55	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $507.05 / $507.05 / $832.54	Facility		$507.05	$507.05	$832.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,021.84 / $1,021.84 / $1,021.84	Facility		$1,021.84	$1,021.84	$1,021.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.08 / $102.08 / $102.08	Facility	AS	$102.08	$102.08	$102.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,058.42 / $11,500.00 / $26,542.00	Facility		$5,058.42	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $205.60 / $849.00 / $849.00	Facility	AS	$205.60	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $859.25 / $1,080.00 / $1,690.42	Facility		$859.25	$1,080.00	$1,690.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $862.06 / $1,092.39 / $1,762.65	Facility		$862.06	$1,092.39	$1,762.65
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $347.54 / $347.54 / $347.54	Facility	80	$347.54	$347.54	$347.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $102.08 / $102.08 / $295.41	Facility	AS	$102.08	$102.08	$295.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00