Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,224.00 / $11,391.00	Facility		$788.00	$3,224.00	$11,391.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,463.69 / $4,352.55 / $9,279.95	Facility		$2,463.69	$4,352.55	$9,279.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $561.60 / $569.58	Facility		$80.00	$561.60	$569.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $698.59 / $698.59 / $698.59	Facility		$698.59	$698.59	$698.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.16 / $69.16 / $69.16	Facility	AS	$69.16	$69.16	$69.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,459.42 / $11,500.00 / $26,542.00	Facility		$3,459.42	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $140.38 / $849.00 / $849.00	Facility	AS	$140.38	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $592.48 / $769.54 / $1,219.09	Facility		$592.48	$769.54	$1,219.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.48 / $773.12 / $1,242.00	Facility		$592.48	$773.12	$1,242.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.16 / $69.16 / $198.32	Facility	AS	$69.16	$69.16	$198.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00