Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.22 / $3,682.00 / $13,004.00	Facility		$938.22	$3,682.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,826.84 / $17,970.07 / $35,464.12	Facility		$8,826.84	$17,970.07	$35,464.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $895.24 / $17,531.07 / $17,531.07	Facility		$895.24	$17,531.07	$17,531.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.74 / $1,130.74 / $1,130.74	Facility		$1,130.74	$1,130.74	$1,130.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,671.05 / $26,542.00 / $50,011.20	Facility		$4,671.05	$26,542.00	$50,011.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $226.33 / $4,740.35 / $4,740.35	Facility	AS	$226.33	$4,740.35	$4,740.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $972.72 / $1,266.64 / $1,993.86	Facility		$972.72	$1,266.64	$1,993.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $972.72 / $1,271.47 / $2,058.19	Facility		$972.72	$1,271.47	$2,058.19
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $380.43 / $380.43 / $380.43	Facility	80	$380.43	$380.43	$380.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $323.36	Facility	AS	$112.33	$112.33	$323.36
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