Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.62 / $3,682.00 / $12,826.00	Facility		$994.62	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,204.30 / $9,391.66 / $18,389.06	Facility		$5,204.30	$9,391.66	$18,389.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $565.48 / $565.48 / $1,155.54	Facility		$565.48	$565.48	$1,155.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,374.86 / $3,603.00 / $6,702.00	Facility		$1,374.86	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.44 / $136.44 / $136.44	Facility	AS	$136.44	$136.44	$136.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $19,913.50	Facility		$5,897.00	$5,897.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $262.16 / $1,887.52 / $1,887.52	Facility	AS	$262.16	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,125.86 / $1,432.53 / $2,418.61	Facility		$1,125.86	$1,432.53	$2,418.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,125.86 / $1,432.53 / $2,504.60	Facility		$1,125.86	$1,432.53	$2,504.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $136.44 / $136.44 / $388.89	Facility	AS	$136.44	$136.44	$388.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,333.00 / $16,000.00	Facility		$2,605.00	$7,333.00	$16,000.00