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 / $12,729.00	Facility		$921.00	$3,682.00	$12,729.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,743.32 / $17,851.06 / $35,583.12	Facility		$9,743.32	$17,851.06	$35,583.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $618.98 / $12,237.01 / $12,237.01	Facility		$618.98	$12,237.01	$12,237.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.94 / $778.94 / $778.94	Facility		$778.94	$778.94	$778.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $77.17 / $77.17 / $77.17	Facility	AS	$77.17	$77.17	$77.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,214.25 / $26,542.00 / $54,442.25	Facility		$3,214.25	$26,542.00	$54,442.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.77 / $5,160.35 / $5,160.35	Facility	AS	$156.77	$5,160.35	$5,160.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.86 / $864.41 / $1,318.01	Facility		$663.86	$864.41	$1,318.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.86 / $864.41 / $1,389.23	Facility		$663.86	$864.41	$1,389.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $77.17 / $77.17 / $221.69	Facility	AS	$77.17	$77.17	$221.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,604.00 / $9,624.00 / $24,821.00	Facility		$4,604.00	$9,624.00	$24,821.00