Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,224.00 / $11,453.00	Facility		$767.00	$3,224.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.44 / $4,283.20 / $8,384.57	Facility		$2,518.44	$4,283.20	$8,384.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $655.46 / $665.73	Facility		$80.00	$655.46	$665.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.63 / $817.63 / $817.63	Facility		$817.63	$817.63	$817.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $81.31 / $81.31 / $81.31	Facility	AS	$81.31	$81.31	$81.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,049.10 / $11,500.00 / $26,542.00	Facility		$4,049.10	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $164.43 / $849.00 / $849.00	Facility	AS	$164.43	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $903.74 / $1,417.82	Facility		$699.00	$903.74	$1,417.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $915.47 / $1,452.44	Facility		$699.00	$915.47	$1,452.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.31 / $81.31 / $234.03	Facility	AS	$81.31	$81.31	$234.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,476.00	Facility		$1,693.00	$5,210.00	$10,476.00