Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,213.00 / $11,453.00	Facility		$797.00	$3,213.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.12 / $9,272.02 / $18,364.59	Facility		$5,264.12	$9,272.02	$18,364.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $718.55 / $6,831.73 / $6,831.73	Facility		$718.55	$6,831.73	$6,831.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.96 / $913.96 / $913.96	Facility		$913.96	$913.96	$913.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.78 / $90.78 / $90.78	Facility	AS	$90.78	$90.78	$90.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,017.52 / $26,542.00 / $26,767.10	Facility		$3,017.52	$26,542.00	$26,767.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $183.97 / $2,537.14 / $2,537.14	Facility	AS	$183.97	$2,537.14	$2,537.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $791.26 / $1,121.42 / $1,760.85	Facility		$791.26	$1,121.42	$1,760.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.26 / $1,125.00 / $1,774.50	Facility		$791.26	$1,125.00	$1,774.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $90.78 / $90.78 / $260.57	Facility	AS	$90.78	$90.78	$260.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,918.00 / $12,900.00	Facility		$2,093.00	$5,918.00	$12,900.00