Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,102.00 / $11,704.00	Facility		$759.00	$3,102.00	$11,704.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.05 / $1,485.27 / $5,113.72	Facility		$901.05	$1,485.27	$5,113.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $795.42 / $1,554.40 / $1,554.40	Facility		$795.42	$1,554.40	$1,554.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.08 / $1,017.08 / $1,017.08	Facility		$1,017.08	$1,017.08	$1,017.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.81 / $100.81 / $100.81	Facility	AS	$100.81	$100.81	$100.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $5,127.64	Facility		$55.00	$2,000.00	$5,127.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $202.46 / $412.36 / $447.27	Facility	AS	$202.46	$412.36	$447.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $874.39 / $1,125.76 / $1,714.41	Facility		$874.39	$1,125.76	$1,714.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $874.39 / $1,130.45 / $1,802.56	Facility		$874.39	$1,130.45	$1,802.56
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $342.14 / $342.14 / $342.14	Facility	80	$342.14	$342.14	$342.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $100.81 / $100.81 / $290.82	Facility	AS	$100.81	$100.81	$290.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00