Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $3,620.00 / $10,893.00	Facility		$777.00	$3,620.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.44 / $4,352.55 / $8,431.35	Facility		$2,518.44	$4,352.55	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $526.28 / $532.49	Facility		$80.00	$526.28	$532.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.85 / $665.85 / $665.85	Facility		$665.85	$665.85	$665.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.06 / $66.06 / $66.06	Facility	AS	$66.06	$66.06	$66.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,196.08 / $11,500.00 / $26,542.00	Facility		$2,196.08	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $134.47 / $849.00 / $849.00	Facility	AS	$134.47	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $561.19 / $720.00 / $1,104.33	Facility		$561.19	$720.00	$1,104.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $564.52 / $720.63 / $1,162.42	Facility		$564.52	$720.63	$1,162.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $66.06 / $66.06 / $188.60	Facility	AS	$66.06	$66.06	$188.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00