Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,504.00 / $10,639.00	Facility		$921.00	$3,504.00	$10,639.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,652.63 / $2,800.77 / $8,419.70	Facility		$1,652.63	$2,800.77	$8,419.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,487.30 / $1,487.30 / $1,537.08	Facility		$1,487.30	$1,487.30	$1,537.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $184.06 / $184.06 / $184.06	Facility	AS	$184.06	$184.06	$184.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,800.00 / $14,866.08	Facility		$55.00	$2,800.00	$14,866.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $366.26 / $750.25 / $794.73	Facility	AS	$366.26	$750.25	$794.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,575.36 / $1,976.01 / $3,687.97	Facility		$1,575.36	$1,976.01	$3,687.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,575.36 / $2,002.41 / $3,774.95	Facility		$1,575.36	$2,002.41	$3,774.95
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $632.51 / $632.51 / $632.51	Facility	80	$632.51	$632.51	$632.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $184.06 / $537.63 / $537.63	Facility	AS	$184.06	$537.63	$537.63
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00