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 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $8,972.92 / $18,065.49	Facility		$5,084.66	$8,972.92	$18,065.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $706.71 / $706.71	Facility		$80.00	$706.71	$706.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $849.65 / $849.65 / $849.65	Facility		$849.65	$849.65	$849.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.97 / $84.97 / $84.97	Facility	AS	$84.97	$84.97	$84.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,774.68 / $26,196.65 / $26,542.00	Facility		$2,774.68	$26,196.65	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.36 / $2,483.07 / $2,483.07	Facility	AS	$172.36	$2,483.07	$2,483.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $680.89 / $841.47 / $1,321.41	Facility		$680.89	$841.47	$1,321.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $684.27 / $846.13 / $1,452.53	Facility		$684.27	$846.13	$1,452.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.97 / $84.97 / $248.12	Facility	AS	$84.97	$84.97	$248.12
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