Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.39 / $1,608.97 / $7,346.00	Facility		$949.39	$1,608.97	$7,346.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $922.36 / $949.32	Facility		$80.00	$922.36	$949.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.36 / $1,110.36 / $1,110.36	Facility		$1,110.36	$1,110.36	$1,110.36
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $110.17 / $110.17 / $110.17	Facility	AS	$110.17	$110.17	$110.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,681.90	Facility		$55.00	$55.00	$6,681.90
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $216.15 / $451.87 / $487.01	Facility	AS	$216.15	$451.87	$487.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $897.32 / $1,127.76 / $1,800.85	Facility		$897.32	$1,127.76	$1,800.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.20 / $1,139.27 / $1,943.24	Facility		$900.20	$1,139.27	$1,943.24
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $110.17 / $110.17 / $314.41	Facility	AS	$110.17	$110.17	$314.41
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