Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,620.00 / $12,480.00	Facility		$895.00	$3,620.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.12 / $1,164.94 / $5,935.52	Facility		$696.12	$1,164.94	$5,935.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $644.91 / $665.86	Facility		$80.00	$644.91	$665.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.20 / $767.20 / $767.20	Facility		$767.20	$767.20	$767.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.27 / $75.27 / $75.27	Facility	AS	$75.27	$75.27	$75.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,354.39	Facility		$55.00	$55.00	$8,354.39
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $148.77 / $307.30 / $325.02	Facility	AS	$148.77	$307.30	$325.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $651.44 / $855.96 / $1,360.83	Facility		$651.44	$855.96	$1,360.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $651.44 / $861.64 / $1,401.14	Facility		$651.44	$861.64	$1,401.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $75.27 / $75.27 / $219.07	Facility	AS	$75.27	$75.27	$219.07
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