Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,213.00 / $11,453.00	Facility		$767.00	$3,213.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.72 / $1,229.35 / $6,263.74	Facility		$724.72	$1,229.35	$6,263.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $656.55 / $667.69	Facility		$80.00	$656.55	$667.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.57 / $823.57 / $823.57	Facility		$823.57	$823.57	$823.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $81.56 / $81.56 / $81.56	Facility	AS	$81.56	$81.56	$81.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,174.89	Facility		$55.00	$55.00	$4,174.89
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.43 / $335.16 / $367.24	Facility	AS	$165.43	$335.16	$367.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $693.97 / $901.37 / $1,393.79	Facility		$693.97	$901.37	$1,393.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $693.97 / $901.37 / $1,436.50	Facility		$693.97	$901.37	$1,436.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.56 / $81.56 / $235.02	Facility	AS	$81.56	$81.56	$235.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00