Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,219.00 / $11,453.00	Facility		$759.00	$3,219.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,785.56 / $9,152.37 / $17,886.03	Facility		$4,785.56	$9,152.37	$17,886.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $536.44 / $543.12	Facility		$80.00	$536.44	$543.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.69 / $670.69 / $670.69	Facility		$670.69	$670.69	$670.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.66 / $66.66 / $66.66	Facility	AS	$66.66	$66.66	$66.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,319.92 / $19,913.50 / $26,542.00	Facility		$3,319.92	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $135.04 / $1,887.52 / $1,887.52	Facility	AS	$135.04	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $566.15 / $729.17 / $1,200.00	Facility		$566.15	$729.17	$1,200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $568.14 / $739.61 / $1,240.00	Facility		$568.14	$739.61	$1,240.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $66.66 / $66.66 / $190.35	Facility	AS	$66.66	$66.66	$190.35
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