Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $4,028.00 / $10,893.00	Facility		$935.00	$4,028.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,886.74 / $7,250.57 / $14,646.14	Facility		$3,886.74	$7,250.57	$14,646.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.44 / $126.44 / $346.78	Facility		$126.44	$126.44	$346.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $3,720.90 / $4,619.00	Facility		$2,500.00	$3,720.90	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,223.75 / $26,542.00	Facility		$11,500.00	$16,223.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $83.27 / $1,537.78 / $1,537.78	Facility	AS	$83.27	$1,537.78	$1,537.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $358.63 / $453.26 / $817.51	Facility		$358.63	$453.26	$817.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.26 / $464.28 / $963.65	Facility		$361.26	$464.28	$963.65
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $143.63 / $143.63 / $143.63	Facility	80	$143.63	$143.63	$143.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $122.09 / $122.09	Facility	AS	$42.13	$122.09	$122.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00