Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $12,826.00	Facility		$983.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $9,092.56 / $18,389.06	Facility		$5,084.66	$9,092.56	$18,389.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,116.54 / $1,159.56	Facility		$80.00	$1,116.54	$1,159.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,363.02 / $3,603.00 / $6,702.00	Facility		$1,363.02	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $135.37 / $135.37 / $135.37	Facility	AS	$135.37	$135.37	$135.37
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 $260.83 / $1,625.25 / $1,625.25	Facility	AS	$260.83	$1,625.25	$1,625.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,136.97 / $1,450.75 / $2,643.09	Facility		$1,136.97	$1,450.75	$2,643.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,138.72 / $1,462.29 / $2,710.59	Facility		$1,138.72	$1,462.29	$2,710.59
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $456.49 / $456.49 / $456.49	Facility	80	$456.49	$456.49	$456.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $135.37 / $135.37 / $388.02	Facility	AS	$135.37	$135.37	$388.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00