Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,184.00 / $11,453.00	Facility		$759.00	$3,184.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,840.09 / $8,972.92 / $17,945.84	Facility		$4,840.09	$8,972.92	$17,945.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $526.16 / $532.89	Facility		$80.00	$526.16	$532.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.32 / $654.32 / $654.32	Facility		$654.32	$654.32	$654.32
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $65.13 / $65.13 / $65.13	Facility	AS	$65.13	$65.13	$65.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,238.68 / $25,906.30 / $26,542.00	Facility		$3,238.68	$25,906.30	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $131.85 / $2,455.55 / $2,455.55	Facility	AS	$131.85	$2,455.55	$2,455.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $552.90 / $714.38 / $1,176.08	Facility		$552.90	$714.38	$1,176.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $557.09 / $721.68 / $1,240.00	Facility		$557.09	$721.68	$1,240.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $65.13 / $65.13 / $186.42	Facility	AS	$65.13	$65.13	$186.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00