Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,224.00 / $11,453.00	Facility		$767.00	$3,224.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,491.08 / $4,325.17 / $8,431.35	Facility		$2,491.08	$4,325.17	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $583.32 / $591.10	Facility		$80.00	$583.32	$591.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.28 / $737.28 / $737.28	Facility		$737.28	$737.28	$737.28
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.26 / $73.26 / $73.26	Facility	AS	$73.26	$73.26	$73.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,432.12 / $11,500.00 / $26,542.00	Facility		$2,432.12	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $148.82 / $849.00 / $849.00	Facility	AS	$148.82	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $627.13 / $831.92 / $1,265.24	Facility		$627.13	$831.92	$1,265.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.13 / $836.28 / $1,303.66	Facility		$627.13	$836.28	$1,303.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $73.26 / $73.26 / $209.02	Facility	AS	$73.26	$73.26	$209.02
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