Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,236.00 / $7,542.00	Facility		$500.00	$2,236.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $12,723.00 / $19,343.00	Facility		$1,845.00	$12,723.00	$19,343.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $292.75 / $309.01	Facility		$80.00	$292.75	$309.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.44 / $378.44 / $378.44	Facility		$378.44	$378.44	$378.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.13 / $37.13 / $37.13	Facility	AS	$37.13	$37.13	$37.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $5,214.58	Facility		$55.00	$5,000.00	$5,214.58
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $72.06 / $152.44 / $157.94	Facility	AS	$72.06	$152.44	$157.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.85 / $370.07 / $686.99	Facility		$297.85	$370.07	$686.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.24 / $373.12 / $745.79	Facility		$299.24	$373.12	$745.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $37.13 / $37.13 / $107.24	Facility	AS	$37.13	$37.13	$107.24
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00