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 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.10 / $8,972.92 / $17,886.03	Facility		$4,606.10	$8,972.92	$17,886.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $746.14 / $758.77	Facility		$80.00	$746.14	$758.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.59 / $929.59 / $929.59	Facility		$929.59	$929.59	$929.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.68 / $92.68 / $92.68	Facility	AS	$92.68	$92.68	$92.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,605.24 / $25,239.65 / $26,542.00	Facility		$4,605.24	$25,239.65	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $186.63 / $2,392.36 / $2,392.36	Facility	AS	$186.63	$2,392.36	$2,392.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.51 / $1,029.13 / $1,650.00	Facility		$794.51	$1,029.13	$1,650.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.51 / $1,040.94 / $1,678.13	Facility		$794.51	$1,040.94	$1,678.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.68 / $92.68 / $266.58	Facility	AS	$92.68	$92.68	$266.58
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