Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,377.00	Facility		$921.00	$3,682.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,383.76 / $9,391.66 / $19,142.24	Facility		$5,383.76	$9,391.66	$19,142.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $656.12 / $665.83	Facility		$80.00	$656.12	$665.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.85 / $835.85 / $835.85	Facility		$835.85	$835.85	$835.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $82.88 / $82.88 / $82.88	Facility	AS	$82.88	$82.88	$82.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,758.60 / $26,542.00 / $27,215.50	Facility		$2,758.60	$26,542.00	$27,215.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $168.45 / $2,579.65 / $2,579.65	Facility	AS	$168.45	$2,579.65	$2,579.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.17 / $948.74 / $1,472.35	Facility		$718.17	$948.74	$1,472.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $718.17 / $951.38 / $1,494.65	Facility		$718.17	$951.38	$1,494.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $82.88 / $82.88 / $237.75	Facility	AS	$82.88	$82.88	$237.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,953.00 / $16,194.00	Facility		$2,614.00	$7,953.00	$16,194.00