Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.60 / $3,362.00 / $13,004.00	Facility		$805.60	$3,362.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,128.04 / $26,360.94 / $52,546.14	Facility		$14,128.04	$26,360.94	$52,546.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $716.52 / $20,969.54 / $20,969.54	Facility		$716.52	$20,969.54	$20,969.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,799.51 / $24,799.51 / $24,799.51	Facility		$24,799.51	$24,799.51	$24,799.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $97,992.80	Facility		$11,500.00	$26,542.00	$97,992.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $184.88 / $9,288.33 / $9,288.33	Facility	AS	$184.88	$9,288.33	$9,288.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $793.01 / $1,042.11 / $2,114.23	Facility		$793.01	$1,042.11	$2,114.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $793.01 / $1,061.83 / $2,114.23	Facility		$793.01	$1,061.83	$2,114.23
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $303.85 / $303.85 / $303.85	Facility	80	$303.85	$303.85	$303.85
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $258.27 / $258.27 / $258.27	Facility	AS	$258.27	$258.27	$258.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,552.00 / $10,235.00 / $39,763.00	Facility		$5,552.00	$10,235.00	$39,763.00