Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,682.00 / $12,941.00	Facility		$803.00	$3,682.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.44 / $4,325.17 / $8,431.35	Facility		$2,518.44	$4,325.17	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $468.89 / $473.81	Facility		$80.00	$468.89	$473.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.54 / $579.54 / $579.54	Facility		$579.54	$579.54	$579.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,388.85 / $11,500.00 / $26,542.00	Facility		$2,388.85	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $117.00 / $849.00 / $849.00	Facility	AS	$117.00	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.01 / $630.26 / $1,023.00	Facility		$487.01	$630.26	$1,023.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.82 / $635.53 / $1,089.00	Facility		$489.82	$635.53	$1,089.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $164.36	Facility	AS	$57.49	$57.49	$164.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00