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 $4,606.10 / $9,092.56 / $18,185.13	Facility		$4,606.10	$9,092.56	$18,185.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $699.78 / $711.87	Facility		$80.00	$699.78	$711.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.79 / $873.79 / $873.79	Facility		$873.79	$873.79	$873.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	AS	$86.87	$86.87	$86.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,607.85 / $19,913.50 / $26,542.00	Facility		$3,607.85	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $175.32 / $1,887.52 / $1,887.52	Facility	AS	$175.32	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $744.90 / $966.48 / $1,548.22	Facility		$744.90	$966.48	$1,548.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.90 / $966.48 / $1,578.17	Facility		$744.90	$966.48	$1,578.17
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.87 / $86.87 / $249.10	Facility	AS	$86.87	$86.87	$249.10
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