Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $3,947.00 / $13,689.00	Facility		$975.00	$3,947.00	$13,689.00
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 $80.00 / $882.88 / $898.59	Facility		$80.00	$882.88	$898.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.89 / $1,108.89 / $1,108.89	Facility		$1,108.89	$1,108.89	$1,108.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $110.09 / $110.09 / $110.09	Facility	AS	$110.09	$110.09	$110.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.16 / $19,913.50 / $26,542.00	Facility		$5,495.16	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $222.37 / $1,887.52 / $1,887.52	Facility	AS	$222.37	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $952.97 / $1,252.44 / $1,965.74	Facility		$952.97	$1,252.44	$1,965.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $953.02 / $1,259.08 / $2,037.07	Facility		$953.02	$1,259.08	$2,037.07
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $110.09 / $110.09 / $316.16	Facility	AS	$110.09	$110.09	$316.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,237.00	Facility		$2,093.00	$6,002.00	$13,237.00