Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,854.00 / $10,893.00	Facility		$983.00	$3,854.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.12 / $9,331.84 / $18,389.06	Facility		$5,264.12	$9,331.84	$18,389.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $909.64 / $5,672.02 / $5,672.02	Facility		$909.64	$5,672.02	$5,672.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,154.44 / $1,154.44 / $1,154.44	Facility		$1,154.44	$1,154.44	$1,154.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.57 / $114.57 / $114.57	Facility	AS	$114.57	$114.57	$114.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,400.00 / $19,913.50	Facility		$55.00	$1,400.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $230.35 / $1,887.52 / $1,887.52	Facility	AS	$230.35	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $944.33 / $1,221.67 / $2,037.65	Facility		$944.33	$1,221.67	$2,037.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $959.17 / $1,236.72 / $2,153.19	Facility		$959.17	$1,236.72	$2,153.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $114.57 / $114.57 / $332.76	Facility	AS	$114.57	$114.57	$332.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,184.00 / $16,000.00	Facility		$2,600.00	$7,184.00	$16,000.00