Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,213.00 / $11,453.00	Facility		$788.00	$3,213.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.06 / $1,604.77 / $3,986.82	Facility		$949.06	$1,604.77	$3,986.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $753.28 / $767.14	Facility		$80.00	$753.28	$767.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.20 / $941.20 / $941.20	Facility		$941.20	$941.20	$941.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.69 / $93.69 / $93.69	Facility	AS	$93.69	$93.69	$93.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,673.94	Facility		$55.00	$55.00	$6,673.94
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $188.61 / $383.00 / $418.49	Facility	AS	$188.61	$383.00	$418.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $810.13 / $1,027.82 / $1,588.54	Facility		$810.13	$1,027.82	$1,588.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $810.13 / $1,031.30 / $1,643.76	Facility		$810.13	$1,031.30	$1,643.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $93.69 / $93.69 / $269.74	Facility	AS	$93.69	$93.69	$269.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00