Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,570.00 / $10,836.00	Facility		$935.00	$3,570.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,193.58 / $2,022.10 / $8,577.84	Facility		$1,193.58	$2,022.10	$8,577.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.31 / $1,096.31 / $1,130.92	Facility		$1,096.31	$1,096.31	$1,130.92
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 $134.03 / $134.03 / $134.03	Facility	AS	$134.03	$134.03	$134.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,838.24	Facility		$55.00	$55.00	$10,838.24
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $265.31 / $546.94 / $582.25	Facility	AS	$265.31	$546.94	$582.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,138.26 / $1,382.46 / $2,459.13	Facility		$1,138.26	$1,382.46	$2,459.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,138.26 / $1,406.74 / $2,725.43	Facility		$1,138.26	$1,406.74	$2,725.43
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $458.29 / $458.29 / $458.29	Facility	80	$458.29	$458.29	$458.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $134.03 / $389.54 / $389.54	Facility	AS	$134.03	$389.54	$389.54
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