Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.64 / $3,682.00 / $12,941.00	Facility		$887.64	$3,682.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,785.56 / $8,972.92 / $17,945.84	Facility		$4,785.56	$8,972.92	$17,945.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $604.89 / $611.79	Facility		$80.00	$604.89	$611.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $755.12 / $755.12	Facility		$755.12	$755.12	$755.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.86 / $74.86 / $74.86	Facility	AS	$74.86	$74.86	$74.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,113.35 / $19,913.50 / $26,542.00	Facility		$3,113.35	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $152.31 / $1,887.52 / $1,887.52	Facility	AS	$152.31	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.36 / $809.91 / $1,247.70	Facility		$636.36	$809.91	$1,247.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $638.72 / $821.50 / $1,330.59	Facility		$638.72	$821.50	$1,330.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $74.86 / $74.86 / $214.16	Facility	AS	$74.86	$74.86	$214.16
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