Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,445.00 / $12,641.00	Facility		$788.00	$3,445.00	$12,641.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $9,152.37 / $17,945.84	Facility		$5,084.66	$9,152.37	$17,945.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $696.28 / $7,421.50 / $7,421.50	Facility		$696.28	$7,421.50	$7,421.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.84 / $867.84 / $867.84	Facility		$867.84	$867.84	$867.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.46 / $86.46 / $86.46	Facility	AS	$86.46	$86.46	$86.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,864.72 / $25,906.30 / $26,542.00	Facility		$2,864.72	$25,906.30	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $174.81 / $2,455.55 / $2,455.55	Facility	AS	$174.81	$2,455.55	$2,455.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $748.27 / $991.26 / $1,534.55	Facility		$748.27	$991.26	$1,534.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $748.27 / $993.93 / $1,601.50	Facility		$748.27	$993.93	$1,601.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $292.16 / $292.16 / $292.16	Facility	80	$292.16	$292.16	$292.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.46 / $86.46 / $248.34	Facility	AS	$86.46	$86.46	$248.34
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