Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $10,893.00	Facility		$945.00	$3,682.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,205.33 / $7,588.92 / $14,722.87	Facility		$4,205.33	$7,588.92	$14,722.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $819.05 / $4,562.89 / $4,562.89	Facility		$819.05	$4,562.89	$4,562.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.82 / $4,105.82 / $4,105.82	Facility		$4,105.82	$4,105.82	$4,105.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $195.51 / $1,537.78 / $1,537.78	Facility	AS	$195.51	$1,537.78	$1,537.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $844.52 / $1,095.06 / $1,939.98	Facility		$844.52	$1,095.06	$1,939.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $844.52 / $1,117.97 / $2,139.59	Facility		$844.52	$1,117.97	$2,139.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $287.00 / $287.00 / $287.00	Facility	AS	$287.00	$287.00	$287.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,184.00 / $16,000.00	Facility		$2,608.00	$7,184.00	$16,000.00