Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,647.00 / $12,480.00	Facility		$828.00	$3,647.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.82 / $858.20 / $3,134.51	Facility		$512.82	$858.20	$3,134.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $486.70 / $497.28	Facility		$80.00	$486.70	$497.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.33 / $569.33 / $569.33	Facility		$569.33	$569.33	$569.33
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.52 / $56.52 / $56.52	Facility	AS	$56.52	$56.52	$56.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,004.42	Facility		$55.00	$55.00	$4,004.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $112.32 / $230.71 / $249.42	Facility	AS	$112.32	$230.71	$249.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.75 / $644.88 / $1,078.08	Facility		$487.75	$644.88	$1,078.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.28 / $646.34 / $1,107.26	Facility		$488.28	$646.34	$1,107.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.52 / $56.52 / $164.36	Facility	AS	$56.52	$56.52	$164.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00