Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,442.00 / $11,139.00	Facility		$803.00	$3,442.00	$11,139.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,157.91 / $9,032.74 / $18,424.41	Facility		$5,157.91	$9,032.74	$18,424.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $564.29 / $11,106.10 / $11,106.10	Facility		$564.29	$11,106.10	$11,106.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.86 / $1,048.86 / $1,048.86	Facility		$1,048.86	$1,048.86	$1,048.86
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.89 / $104.89 / $104.89	Facility	AS	$104.89	$104.89	$104.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,912.44 / $11,500.00 / $26,542.00	Facility		$2,912.44	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $283.69 / $312.33 / $312.33	Facility	AS	$283.69	$312.33	$312.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $627.84 / $880.84 / $1,368.38	Facility		$627.84	$880.84	$1,368.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.60 / $886.30 / $1,400.65	Facility		$629.60	$886.30	$1,400.65
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $315.29 / $315.29 / $315.29	Facility	80	$315.29	$315.29	$315.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $104.89 / $104.89 / $268.00	Facility	AS	$104.89	$104.89	$268.00
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