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 / $12,281.00	Facility		$921.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,545.83 / $4,297.80 / $9,279.95	Facility		$2,545.83	$4,297.80	$9,279.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $632.30 / $642.08	Facility		$80.00	$632.30	$642.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $786.00 / $786.00 / $786.00	Facility		$786.00	$786.00	$786.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $77.95 / $77.95 / $77.95	Facility	AS	$77.95	$77.95	$77.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,244.35 / $11,500.00 / $26,542.00	Facility		$3,244.35	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $157.83 / $849.00 / $849.00	Facility	AS	$157.83	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.40 / $860.04 / $1,491.85	Facility		$666.40	$860.04	$1,491.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $666.40 / $865.06 / $1,503.03	Facility		$666.40	$865.06	$1,503.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $77.95 / $77.95 / $223.22	Facility	AS	$77.95	$77.95	$223.22
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