Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,377.00	Facility		$895.00	$3,682.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,449.50 / $17,970.07 / $35,464.12	Facility		$8,449.50	$17,970.07	$35,464.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $630.42 / $20,949.68 / $20,949.68	Facility		$630.42	$20,949.68	$20,949.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.48 / $784.48 / $784.48	Facility		$784.48	$784.48	$784.48
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.22 / $78.22 / $78.22	Facility	AS	$78.22	$78.22	$78.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,232.35 / $26,542.00 / $53,909.80	Facility		$3,232.35	$26,542.00	$53,909.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $157.82 / $5,109.89 / $5,109.89	Facility	AS	$157.82	$5,109.89	$5,109.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $673.28 / $880.20 / $1,373.04	Facility		$673.28	$880.20	$1,373.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.28 / $880.20 / $1,414.61	Facility		$673.28	$880.20	$1,414.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $78.22 / $78.22 / $224.10	Facility	AS	$78.22	$78.22	$224.10
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