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 $3,253.63 / $8,808.62 / $15,732.53	Facility		$3,253.63	$8,808.62	$15,732.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $602.99 / $611.50	Facility		$80.00	$602.99	$611.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.81 / $748.81 / $748.81	Facility		$748.81	$748.81	$748.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.42 / $74.42 / $74.42	Facility	AS	$74.42	$74.42	$74.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,089.80 / $19,913.50 / $26,542.00	Facility		$3,089.80	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.59 / $1,887.52 / $1,887.52	Facility	AS	$150.59	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.88 / $819.14 / $1,307.17	Facility		$634.88	$819.14	$1,307.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $635.85 / $821.45 / $1,338.15	Facility		$635.85	$821.45	$1,338.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $74.42 / $74.42 / $213.17	Facility	AS	$74.42	$74.42	$213.17
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