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 / $12,377.00	Facility		$921.00	$3,682.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.12 / $9,272.02 / $18,364.59	Facility		$5,264.12	$9,272.02	$18,364.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $754.05 / $766.82	Facility		$80.00	$754.05	$766.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.36 / $943.36 / $943.36	Facility		$943.36	$943.36	$943.36
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.69 / $93.69 / $93.69	Facility	AS	$93.69	$93.69	$93.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,674.06 / $19,913.50 / $26,542.00	Facility		$4,674.06	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $189.26 / $1,887.52 / $1,887.52	Facility	AS	$189.26	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $802.84 / $1,041.28 / $1,673.49	Facility		$802.84	$1,041.28	$1,673.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $802.84 / $1,060.91 / $1,732.50	Facility		$802.84	$1,060.91	$1,732.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $93.69 / $93.69 / $268.22	Facility	AS	$93.69	$93.69	$268.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00