Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $12,826.00	Facility		$945.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $9,092.56 / $18,364.59	Facility		$5,084.66	$9,092.56	$18,364.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $984.28 / $1,013.08	Facility		$80.00	$984.28	$1,013.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,240.63 / $3,603.00 / $6,702.00	Facility		$1,240.63	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.07 / $123.07 / $123.07	Facility	AS	$123.07	$123.07	$123.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $17,132.00	Facility		$5,897.00	$5,897.00	$17,132.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $242.65 / $1,625.25 / $1,625.25	Facility	AS	$242.65	$1,625.25	$1,625.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,020.92 / $1,313.27 / $2,414.31	Facility		$1,020.92	$1,313.27	$2,414.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,025.18 / $1,336.65 / $2,475.96	Facility		$1,025.18	$1,336.65	$2,475.96
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $418.20 / $418.20 / $418.20	Facility	80	$418.20	$418.20	$418.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $123.07 / $123.07 / $355.47	Facility	AS	$123.07	$123.07	$355.47
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