Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.00 / $3,792.00 / $12,377.00	Facility		$942.00	$3,792.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,144.47 / $9,391.66 / $18,252.08	Facility		$5,144.47	$9,391.66	$18,252.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $744.98 / $7,551.16 / $7,551.16	Facility		$744.98	$7,551.16	$7,551.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.57 / $932.57 / $932.57	Facility		$932.57	$932.57	$932.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.68 / $92.68 / $92.68	Facility	AS	$92.68	$92.68	$92.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,619.88 / $19,913.50 / $26,542.00	Facility		$4,619.88	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.33 / $1,887.52 / $1,887.52	Facility	AS	$187.33	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $803.38 / $1,085.10 / $1,700.72	Facility		$803.38	$1,085.10	$1,700.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.38 / $1,087.18 / $1,746.70	Facility		$803.38	$1,087.18	$1,746.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.68 / $92.68 / $266.25	Facility	AS	$92.68	$92.68	$266.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00