Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,166.00 / $7,316.00	Facility		$536.00	$2,166.00	$7,316.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.39 / $1,176.68 / $18,040.00	Facility		$672.39	$1,176.68	$18,040.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $438.56 / $461.04	Facility		$80.00	$438.56	$461.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.25 / $574.25 / $574.25	Facility		$574.25	$574.25	$574.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.33 / $56.33 / $56.33	Facility	AS	$56.33	$56.33	$56.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $7,907.48	Facility		$55.00	$5,000.00	$7,907.48
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $109.67 / $230.56 / $239.96	Facility	AS	$109.67	$230.56	$239.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $572.35 / $1,034.90	Facility		$453.24	$572.35	$1,034.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $575.50 / $1,138.51	Facility		$453.24	$575.50	$1,138.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.33 / $56.33 / $163.05	Facility	AS	$56.33	$56.33	$163.05
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00