Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,925.00 / $13,401.00	Facility		$969.00	$3,925.00	$13,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,352.55 / $8,650.34	Facility		$2,436.33	$4,352.55	$8,650.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $775.10 / $776.88	Facility		$80.00	$775.10	$776.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.59 / $946.59 / $946.59	Facility		$946.59	$946.59	$946.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.66 / $94.66 / $94.66	Facility	AS	$94.66	$94.66	$94.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,108.08 / $11,576.10 / $26,542.00	Facility		$3,108.08	$11,576.10	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $192.02 / $1,097.25 / $1,097.25	Facility	AS	$192.02	$1,097.25	$1,097.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $800.38 / $1,056.57 / $1,643.51	Facility		$800.38	$1,056.57	$1,643.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $800.93 / $1,056.57 / $1,654.40	Facility		$800.93	$1,056.57	$1,654.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.66 / $94.66 / $275.31	Facility	AS	$94.66	$94.66	$275.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00