Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,682.00 / $12,377.00	Facility		$923.00	$3,682.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,307.00 / $9,032.74 / $17,826.21	Facility		$4,307.00	$9,032.74	$17,826.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $770.85 / $772.22	Facility		$80.00	$770.85	$772.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $945.10 / $945.10 / $945.10	Facility		$945.10	$945.10	$945.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.51 / $94.51 / $94.51	Facility	AS	$94.51	$94.51	$94.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,101.80 / $19,913.50 / $26,542.00	Facility		$3,101.80	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.64 / $1,887.52 / $1,887.52	Facility	AS	$191.64	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $791.88 / $1,028.85 / $1,578.73	Facility		$791.88	$1,028.85	$1,578.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.92 / $1,031.55 / $1,637.96	Facility		$799.92	$1,031.55	$1,637.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.51 / $94.51 / $274.77	Facility	AS	$94.51	$94.51	$274.77
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