Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.22 / $3,647.00 / $12,480.00	Facility		$861.22	$3,647.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $545.50 / $921.11 / $4,664.74	Facility		$545.50	$921.11	$4,664.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $539.64 / $548.25	Facility		$80.00	$539.64	$548.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.10 / $620.10 / $620.10	Facility		$620.10	$620.10	$620.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.67 / $61.67 / $61.67	Facility	AS	$61.67	$61.67	$61.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,895.57	Facility		$55.00	$55.00	$6,895.57
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $123.54 / $252.36 / $275.76	Facility	AS	$123.54	$252.36	$275.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $531.69 / $685.47 / $1,181.23	Facility		$531.69	$685.47	$1,181.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.69 / $690.48 / $1,211.40	Facility		$531.69	$690.48	$1,211.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $61.67 / $61.67 / $176.26	Facility	AS	$61.67	$61.67	$176.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00