Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,110.00 / $9,961.00	Facility		$797.00	$3,110.00	$9,961.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,743.54 / $9,032.74 / $17,886.03	Facility		$4,743.54	$9,032.74	$17,886.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $651.42 / $659.98	Facility		$80.00	$651.42	$659.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.94 / $823.94 / $823.94	Facility		$823.94	$823.94	$823.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $81.69 / $81.69 / $81.69	Facility	AS	$81.69	$81.69	$81.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,718.08 / $19,913.50 / $26,542.00	Facility		$2,718.08	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $166.33 / $1,887.52 / $1,887.52	Facility	AS	$166.33	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $690.85 / $864.00 / $1,360.98	Facility		$690.85	$864.00	$1,360.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $693.63 / $864.13 / $1,428.37	Facility		$693.63	$864.13	$1,428.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.69 / $81.69 / $234.03	Facility	AS	$81.69	$81.69	$234.03
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