Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,840.00 / $7,542.00	Facility		$662.00	$2,840.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,948.09 / $8,853.29 / $17,646.75	Facility		$3,948.09	$8,853.29	$17,646.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $559.46 / $567.12	Facility		$80.00	$559.46	$567.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $699.71 / $699.71 / $699.71	Facility		$699.71	$699.71	$699.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.76 / $69.76 / $69.76	Facility	AS	$69.76	$69.76	$69.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,462.48 / $16,394.00 / $19,913.50	Facility		$3,462.48	$16,394.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $141.36 / $1,887.52 / $1,887.52	Facility	AS	$141.36	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $603.86 / $789.58 / $1,223.69	Facility		$603.86	$789.58	$1,223.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $603.86 / $791.83 / $1,267.51	Facility		$603.86	$791.83	$1,267.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.76 / $69.76 / $201.38	Facility	AS	$69.76	$69.76	$201.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $11,178.00	Facility		$1,634.00	$4,425.00	$11,178.00