Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,281.00	Facility		$895.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,673.52 / $6,706.32 / $13,711.64	Facility		$3,673.52	$6,706.32	$13,711.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $463.47 / $4,028.72 / $4,028.72	Facility		$463.47	$4,028.72	$4,028.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,194.69 / $3,194.69 / $3,194.69	Facility		$3,194.69	$3,194.69	$3,194.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,623.50	Facility		$55.00	$55.00	$12,623.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $120.63 / $1,196.53 / $1,196.53	Facility	AS	$120.63	$1,196.53	$1,196.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $515.47 / $671.13 / $1,138.50	Facility		$515.47	$671.13	$1,138.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.47 / $676.45 / $1,341.13	Facility		$515.47	$676.45	$1,341.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $203.51 / $203.51 / $203.51	Facility	80	$203.51	$203.51	$203.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $172.99 / $172.99 / $172.99	Facility	AS	$172.99	$172.99	$172.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00