Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,617.00 / $12,281.00	Facility		$872.00	$3,617.00	$12,281.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,771.25 / $2,771.25 / $2,771.25	Facility	50	$2,771.25	$2,771.25	$2,771.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,475.19 / $4,708.92 / $8,995.25	Facility		$2,475.19	$4,708.92	$8,995.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $437.35 / $437.35 / $437.35	Facility		$437.35	$437.35	$437.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $102.92 / $889.94 / $889.94	Facility	AS	$102.92	$889.94	$889.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.67 / $542.50 / $1,002.40	Facility		$438.67	$542.50	$1,002.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.67 / $549.03 / $1,167.47	Facility		$438.67	$549.03	$1,167.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $149.61 / $149.61 / $149.61	Facility	AS	$149.61	$149.61	$149.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,100.00 / $8,226.00	Facility		$1,284.00	$4,100.00	$8,226.00