Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,213.00 / $11,453.00	Facility		$727.00	$3,213.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,582.00 / $5,863.40 / $14,754.00	Facility		$1,582.00	$5,863.40	$14,754.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $113.67 / $117.93	Facility		$80.00	$113.67	$117.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.81 / $3,603.00 / $6,702.00	Facility		$152.81	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $14.95 / $14.95 / $14.95	Facility	AS	$14.95	$14.95	$14.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $4,044.74	Facility		$55.00	$2,000.00	$4,044.74
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $29.39 / $60.40 / $63.40	Facility	AS	$29.39	$60.40	$63.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.05 / $178.93 / $276.02	Facility		$128.05	$178.93	$276.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $179.84 / $293.48	Facility		$128.44	$179.84	$293.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $14.95 / $14.95 / $43.57	Facility	AS	$14.95	$14.95	$43.57
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00