Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,620.00 / $12,480.00	Facility		$945.00	$3,620.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,006.04 / $1,702.46 / $8,577.84	Facility		$1,006.04	$1,702.46	$8,577.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $918.70 / $936.33	Facility		$80.00	$918.70	$936.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,155.76 / $1,155.76 / $1,155.76	Facility		$1,155.76	$1,155.76	$1,155.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.90 / $114.90 / $114.90	Facility	AS	$114.90	$114.90	$114.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,196.86	Facility		$55.00	$55.00	$8,196.86
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $231.69 / $470.35 / $513.95	Facility	AS	$231.69	$470.35	$513.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $980.83 / $1,238.49 / $1,981.47	Facility		$980.83	$1,238.49	$1,981.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $980.83 / $1,245.11 / $2,023.95	Facility		$980.83	$1,245.11	$2,023.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $114.90 / $114.90 / $330.24	Facility	AS	$114.90	$114.90	$330.24
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