Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.00 / $2,673.00 / $8,002.00	Facility		$726.00	$2,673.00	$8,002.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $916.68 / $1,539.57 / $7,941.12	Facility		$916.68	$1,539.57	$7,941.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $855.87 / $870.45	Facility		$80.00	$855.87	$870.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,064.61 / $1,064.61 / $1,064.61	Facility		$1,064.61	$1,064.61	$1,064.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,394.70	Facility		$55.00	$55.00	$5,394.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $213.61 / $433.26 / $474.73	Facility	AS	$213.61	$433.26	$474.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $877.91 / $1,076.21 / $1,712.53	Facility		$877.91	$1,076.21	$1,712.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $880.12 / $1,091.90 / $1,752.92	Facility		$880.12	$1,091.90	$1,752.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $104.84 / $299.45	Facility	AS	$104.84	$104.84	$299.45
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