Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $2,128.00 / $7,513.00	Facility		$466.00	$2,128.00	$7,513.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.85 / $398.38 / $18,738.00	Facility		$185.85	$398.38	$18,738.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $159.32 / $167.86	Facility		$80.00	$159.32	$167.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.57 / $208.57 / $208.57	Facility		$208.57	$208.57	$208.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.47 / $20.47 / $20.47	Facility	AS	$20.47	$20.47	$20.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $2,000.00	Facility		$55.00	$1,300.00	$2,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $39.46 / $83.11 / $86.38	Facility	AS	$39.46	$83.11	$86.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.31 / $240.56 / $411.79	Facility		$176.31	$240.56	$411.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.31 / $240.87 / $417.07	Facility		$176.31	$240.87	$417.07
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $20.47 / $20.47 / $59.30	Facility	AS	$20.47	$20.47	$59.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00