Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,207.89 / $8,972.92 / $18,065.49	Facility		$5,207.89	$8,972.92	$18,065.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $714.90 / $725.72	Facility		$80.00	$714.90	$725.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $892.02 / $892.02 / $892.02	Facility		$892.02	$892.02	$892.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.58 / $88.58 / $88.58	Facility	AS	$88.58	$88.58	$88.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,417.85 / $25,815.20 / $26,542.00	Facility		$4,417.85	$25,815.20	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $179.29 / $2,446.92 / $2,446.92	Facility	AS	$179.29	$2,446.92	$2,446.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.70 / $858.00 / $1,416.57	Facility		$672.70	$858.00	$1,416.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.70 / $863.72 / $1,493.68	Facility		$672.70	$863.72	$1,493.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $88.58 / $88.58 / $252.93	Facility	AS	$88.58	$88.58	$252.93
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