Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,925.00 / $13,004.00	Facility		$945.00	$3,925.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,144.47 / $8,972.92 / $18,065.49	Facility		$5,144.47	$8,972.92	$18,065.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $572.57 / $4,287.00 / $4,287.00	Facility		$572.57	$4,287.00	$4,287.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.86 / $726.86 / $726.86	Facility		$726.86	$726.86	$726.86
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.95 / $71.95 / $71.95	Facility	AS	$71.95	$71.95	$71.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,396.56 / $26,542.00 / $27,517.90	Facility		$2,396.56	$26,542.00	$27,517.90
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $146.94 / $2,608.31 / $2,608.31	Facility	AS	$146.94	$2,608.31	$2,608.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $611.21 / $788.16 / $1,234.33	Facility		$611.21	$788.16	$1,234.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.51 / $793.86 / $1,288.13	Facility		$613.51	$793.86	$1,288.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $71.95 / $71.95 / $205.31	Facility	AS	$71.95	$71.95	$205.31
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