Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,184.00 / $10,893.00	Facility		$895.00	$3,184.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,449.50 / $17,851.06 / $34,924.07	Facility		$8,449.50	$17,851.06	$34,924.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,024.86 / $11,736.78 / $11,736.78	Facility		$1,024.86	$11,736.78	$11,736.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.35 / $1,267.35 / $1,267.35	Facility		$1,267.35	$1,267.35	$1,267.35
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.35 / $126.35 / $126.35	Facility	AS	$126.35	$126.35	$126.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,182.84 / $26,542.00 / $49,680.10	Facility		$4,182.84	$26,542.00	$49,680.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $255.14 / $4,708.97 / $4,708.97	Facility	AS	$255.14	$4,708.97	$4,708.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,074.03 / $1,377.75 / $2,112.96	Facility		$1,074.03	$1,377.75	$2,112.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,088.04 / $1,386.72 / $2,239.96	Facility		$1,088.04	$1,386.72	$2,239.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $126.35 / $126.35 / $364.86	Facility	AS	$126.35	$126.35	$364.86
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