Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,682.00 / $12,826.00	Facility		$923.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.10 / $1,576.30 / $8,031.45	Facility		$913.10	$1,576.30	$8,031.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $890.84 / $1,090.52 / $1,090.52	Facility		$890.84	$1,090.52	$1,090.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.83 / $1,096.83 / $1,096.83	Facility		$1,096.83	$1,096.83	$1,096.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,766.71	Facility		$55.00	$55.00	$7,766.71
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $220.16 / $445.06 / $491.21	Facility	AS	$220.16	$445.06	$491.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $920.50 / $1,150.19 / $1,797.82	Facility		$920.50	$1,150.19	$1,797.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $920.50 / $1,153.95 / $1,842.48	Facility		$920.50	$1,153.95	$1,842.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $317.80	Facility	AS	$109.68	$109.68	$317.80
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