Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.17 / $3,219.00 / $11,704.00	Facility		$816.17	$3,219.00	$11,704.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,207.89 / $9,272.02 / $19,142.24	Facility		$5,207.89	$9,272.02	$19,142.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $873.13 / $890.37	Facility		$80.00	$873.13	$890.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.38 / $1,107.38 / $1,107.38	Facility		$1,107.38	$1,107.38	$1,107.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.98 / $109.98 / $109.98	Facility	AS	$109.98	$109.98	$109.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,481.72 / $26,542.00 / $26,827.20	Facility		$5,481.72	$26,542.00	$26,827.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $221.84 / $2,542.84 / $2,542.84	Facility	AS	$221.84	$2,542.84	$2,542.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $816.17 / $1,073.07 / $1,780.17	Facility		$816.17	$1,073.07	$1,780.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $820.13 / $1,078.08 / $1,831.07	Facility		$820.13	$1,078.08	$1,831.07
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $109.98 / $109.98 / $317.47	Facility	AS	$109.98	$109.98	$317.47
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