Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.75 / $3,511.00 / $11,210.00	Facility		$905.75	$3,511.00	$11,210.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,253.08 / $12,703.80 / $25,071.07	Facility		$6,253.08	$12,703.80	$25,071.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $805.43 / $805.43 / $805.43	Facility		$805.43	$805.43	$805.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,065.00 / $5,065.00 / $5,065.00	Facility		$5,065.00	$5,065.00	$5,065.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,189.40	Facility		$55.00	$55.00	$22,189.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $209.28 / $2,105.03 / $2,105.03	Facility	AS	$209.28	$2,105.03	$2,105.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $879.92 / $1,143.90 / $1,991.84	Facility		$879.92	$1,143.90	$1,991.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $879.92 / $1,151.40 / $2,042.71	Facility		$879.92	$1,151.40	$2,042.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $301.63 / $301.63 / $301.63	Facility	AS	$301.63	$301.63	$301.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00