Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,188.00 / $10,836.00	Facility		$732.00	$3,188.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,463.69 / $4,325.17 / $8,431.35	Facility		$2,463.69	$4,325.17	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $454.10 / $2,613.29 / $2,613.29	Facility		$454.10	$2,613.29	$2,613.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.77 / $568.77 / $568.77	Facility		$568.77	$568.77	$568.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.45 / $56.45 / $56.45	Facility	AS	$56.45	$56.45	$56.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,874.60 / $11,500.00 / $26,542.00	Facility		$1,874.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $115.09 / $849.00 / $849.00	Facility	AS	$115.09	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $477.85 / $637.52 / $972.61	Facility		$477.85	$637.52	$972.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.44 / $638.54 / $1,001.01	Facility		$480.44	$638.54	$1,001.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.45 / $56.45 / $160.32	Facility	AS	$56.45	$56.45	$160.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00