Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.85 / $3,617.00 / $11,139.00	Facility		$898.85	$3,617.00	$11,139.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,678.27 / $4,881.66 / $9,545.67	Facility		$2,678.27	$4,881.66	$9,545.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $668.01 / $7,938.28 / $7,938.28	Facility		$668.01	$7,938.28	$7,938.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,431.23 / $4,552.00 / $6,644.00	Facility		$3,431.23	$4,552.00	$6,644.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.59 / $80.59 / $80.59	Facility	AS	$80.59	$80.59	$80.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $17,986.75 / $26,542.00	Facility		$12,131.00	$17,986.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.81 / $1,704.89 / $1,704.89	Facility	AS	$158.81	$1,704.89	$1,704.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.02 / $891.50 / $1,541.97	Facility		$692.02	$891.50	$1,541.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $697.35 / $909.36 / $1,624.31	Facility		$697.35	$909.36	$1,624.31
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $275.33 / $275.33 / $275.33	Facility	80	$275.33	$275.33	$275.33
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.59 / $234.03 / $234.03	Facility	AS	$80.59	$234.03	$234.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00