Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,219.00 / $11,453.00	Facility		$788.00	$3,219.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,204.30 / $8,972.92 / $18,065.49	Facility		$5,204.30	$8,972.92	$18,065.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $647.29 / $657.93	Facility		$80.00	$647.29	$657.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $814.65 / $814.65 / $814.65	Facility		$814.65	$814.65	$814.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.94 / $80.94 / $80.94	Facility	AS	$80.94	$80.94	$80.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,362.75 / $25,957.85 / $26,542.00	Facility		$3,362.75	$25,957.85	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $163.68 / $2,460.44 / $2,460.44	Facility	AS	$163.68	$2,460.44	$2,460.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $695.29 / $904.31 / $1,365.25	Facility		$695.29	$904.31	$1,365.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $695.29 / $904.31 / $1,442.26	Facility		$695.29	$904.31	$1,442.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.94 / $80.94 / $232.07	Facility	AS	$80.94	$80.94	$232.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00