Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,925.00 / $11,210.00	Facility		$945.00	$3,925.00	$11,210.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,156.99 / $7,250.57 / $14,694.48	Facility		$4,156.99	$7,250.57	$14,694.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $609.66 / $609.66 / $629.11	Facility		$609.66	$609.66	$629.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.06 / $2,847.00 / $5,292.00	Facility		$742.06	$2,847.00	$5,292.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.15 / $73.15 / $73.15	Facility	AS	$73.15	$73.15	$73.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,800.00 / $13,486.75	Facility		$55.00	$2,800.00	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $143.76 / $1,279.44 / $1,279.44	Facility	AS	$143.76	$1,279.44	$1,279.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $620.62 / $775.65 / $1,440.96	Facility		$620.62	$775.65	$1,440.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $621.95 / $782.72 / $1,474.95	Facility		$621.95	$782.72	$1,474.95
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $250.15 / $250.15 / $250.15	Facility	80	$250.15	$250.15	$250.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $73.15 / $212.63 / $212.63	Facility	AS	$73.15	$212.63	$212.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $6,998.00 / $16,000.00	Facility		$2,600.00	$6,998.00	$16,000.00