Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $3,420.00 / $11,719.00	Facility		$789.00	$3,420.00	$11,719.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,207.89 / $9,272.02 / $19,142.24	Facility		$5,207.89	$9,272.02	$19,142.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $622.35 / $630.26	Facility		$80.00	$622.35	$630.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $777.08 / $777.08 / $777.08	Facility		$777.08	$777.08	$777.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.84 / $76.84 / $76.84	Facility	AS	$76.84	$76.84	$76.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,205.20 / $26,542.00 / $27,234.40	Facility		$3,205.20	$26,542.00	$27,234.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.49 / $2,581.44 / $2,581.44	Facility	AS	$156.49	$2,581.44	$2,581.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $671.86 / $982.12 / $1,590.04	Facility		$671.86	$982.12	$1,590.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $671.86 / $984.64 / $1,597.41	Facility		$671.86	$984.64	$1,597.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $76.84 / $76.84 / $219.51	Facility	AS	$76.84	$76.84	$219.51
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