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 / $12,379.94	Facility		$921.00	$3,682.00	$12,379.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,075.46 / $17,970.07 / $35,464.12	Facility		$8,075.46	$17,970.07	$35,464.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $777.21 / $10,995.61 / $10,995.61	Facility		$777.21	$10,995.61	$10,995.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.72 / $975.72 / $975.72	Facility		$975.72	$975.72	$975.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.05 / $97.05 / $97.05	Facility	AS	$97.05	$97.05	$97.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,835.88 / $26,542.00 / $49,806.70	Facility		$4,835.88	$26,542.00	$49,806.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $195.66 / $4,720.97 / $4,720.97	Facility	AS	$195.66	$4,720.97	$4,720.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $840.04 / $1,097.58 / $1,708.87	Facility		$840.04	$1,097.58	$1,708.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $840.04 / $1,099.41 / $1,767.50	Facility		$840.04	$1,099.41	$1,767.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $97.05 / $97.05 / $279.02	Facility	AS	$97.05	$97.05	$279.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,358.00 / $16,000.00	Facility		$2,605.00	$7,358.00	$16,000.00