Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,487.17 / $4,352.55 / $8,431.35	Facility		$2,487.17	$4,352.55	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $738.64 / $751.01	Facility		$80.00	$738.64	$751.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.94 / $932.94 / $932.94	Facility		$932.94	$932.94	$932.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.31 / $92.31 / $92.31	Facility	AS	$92.31	$92.31	$92.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,392.45 / $11,500.00 / $26,542.00	Facility		$5,392.45	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.24 / $849.00 / $849.00	Facility	AS	$187.24	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $792.39 / $1,007.71 / $1,551.40	Facility		$792.39	$1,007.71	$1,551.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.57 / $1,011.64 / $1,625.85	Facility		$791.57	$1,011.64	$1,625.85
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.31 / $92.31 / $264.83	Facility	AS	$92.31	$92.31	$264.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,166.00 / $10,600.00	Facility		$1,634.00	$4,166.00	$10,600.00