Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,570.00 / $12,040.00	Facility		$803.00	$3,570.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.04 / $4,324.00 / $8,418.26	Facility		$2,393.04	$4,324.00	$8,418.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $454.84 / $460.12	Facility		$80.00	$454.84	$460.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.69 / $561.69 / $561.69	Facility		$561.69	$561.69	$561.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $55.55 / $55.55 / $55.55	Facility	AS	$55.55	$55.55	$55.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,316.00 / $11,500.00 / $26,542.00	Facility		$2,316.00	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $113.20 / $849.00 / $849.00	Facility	AS	$113.20	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $471.97 / $613.55 / $946.13	Facility		$471.97	$613.55	$946.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $473.10 / $614.99 / $991.03	Facility		$473.10	$614.99	$991.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $55.55 / $55.55 / $158.46	Facility	AS	$55.55	$55.55	$158.46
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