Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,504.00 / $11,232.00	Facility		$803.00	$3,504.00	$11,232.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.44 / $4,325.17 / $8,431.35	Facility		$2,518.44	$4,325.17	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $446.48 / $451.63	Facility		$80.00	$446.48	$451.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.79 / $549.79 / $549.79	Facility		$549.79	$549.79	$549.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $54.47 / $54.47 / $54.47	Facility	AS	$54.47	$54.47	$54.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,267.44 / $11,500.00 / $26,542.00	Facility		$2,267.44	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $110.69 / $849.00 / $849.00	Facility	AS	$110.69	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $462.96 / $600.74 / $1,041.67	Facility		$462.96	$600.74	$1,041.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.80 / $607.27 / $1,068.27	Facility		$463.80	$607.27	$1,068.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $54.47 / $54.47 / $155.29	Facility	AS	$54.47	$54.47	$155.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00