Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $2,673.00 / $7,542.00	Facility		$661.00	$2,673.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,144.00 / $9,032.74 / $17,826.21	Facility		$4,144.00	$9,032.74	$17,826.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $551.39 / $559.33	Facility		$80.00	$551.39	$559.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.05 / $64.05 / $64.05	Facility	AS	$64.05	$64.05	$64.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,763.41 / $16,394.00 / $19,913.50	Facility		$3,763.41	$16,394.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $129.79 / $1,887.52 / $1,887.52	Facility	AS	$129.79	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.29 / $669.05 / $1,062.64	Facility		$542.29	$669.05	$1,062.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.29 / $684.59 / $1,077.79	Facility		$542.29	$684.59	$1,077.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $64.05 / $64.05 / $181.94	Facility	AS	$64.05	$64.05	$181.94
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