Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.58 / $3,224.00 / $11,453.00	Facility		$809.58	$3,224.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,571.06 / $8,853.29 / $15,732.53	Facility		$3,571.06	$8,853.29	$15,732.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $870.90 / $889.08	Facility		$80.00	$870.90	$889.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,102.93 / $1,102.93 / $1,102.93	Facility		$1,102.93	$1,102.93	$1,102.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.46 / $109.46 / $109.46	Facility	AS	$109.46	$109.46	$109.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,380.50 / $19,913.50 / $26,542.00	Facility		$6,380.50	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $220.77 / $1,887.52 / $1,887.52	Facility	AS	$220.77	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $949.02 / $1,239.91 / $1,865.84	Facility		$949.02	$1,239.91	$1,865.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $949.02 / $1,240.47 / $2,000.00	Facility		$949.02	$1,240.47	$2,000.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $109.46 / $109.46 / $315.17	Facility	AS	$109.46	$109.46	$315.17
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