Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,647.00 / $12,281.00	Facility		$921.00	$3,647.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,822.67 / $9,092.56 / $18,252.08	Facility		$4,822.67	$9,092.56	$18,252.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $597.29 / $601.57	Facility		$80.00	$597.29	$601.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.37 / $741.37 / $741.37	Facility		$741.37	$741.37	$741.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.78 / $73.78 / $73.78	Facility	AS	$73.78	$73.78	$73.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,442.88 / $26,542.00 / $26,543.70	Facility		$2,442.88	$26,542.00	$26,543.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.05 / $2,515.96 / $2,515.96	Facility	AS	$150.05	$2,515.96	$2,515.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.28 / $789.89 / $1,230.56	Facility		$622.28	$789.89	$1,230.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.28 / $795.31 / $1,275.02	Facility		$622.28	$795.31	$1,275.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $73.78 / $73.78 / $212.19	Facility	AS	$73.78	$73.78	$212.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00