Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.85 / $2,181.00 / $7,513.00	Facility		$736.85	$2,181.00	$7,513.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,989.27 / $28,919.13 / $57,838.26	Facility		$10,989.27	$28,919.13	$57,838.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $858.33 / $17,043.43 / $17,043.43	Facility		$858.33	$17,043.43	$17,043.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,013.29 / $1,013.29 / $1,013.29	Facility		$1,013.29	$1,013.29	$1,013.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.85 / $100.85 / $100.85	Facility	AS	$100.85	$100.85	$100.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,000.00 / $72,083.85	Facility		$55.00	$20,000.00	$72,083.85
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.83 / $4,909.63 / $4,909.63	Facility	AS	$194.83	$4,909.63	$4,909.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $796.33 / $1,003.25 / $1,672.63	Facility		$796.33	$1,003.25	$1,672.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $796.33 / $1,014.38 / $1,910.59	Facility		$796.33	$1,014.38	$1,910.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $100.85 / $100.85 / $286.67	Facility	AS	$100.85	$100.85	$286.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,358.00 / $16,982.00	Facility		$2,600.00	$7,358.00	$16,982.00