Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,213.00 / $10,893.00	Facility		$895.00	$3,213.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,063.81 / $3,687.04 / $7,861.04	Facility		$2,063.81	$3,687.04	$7,861.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,396.71 / $1,435.40	Facility		$80.00	$1,396.71	$1,435.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,773.58 / $1,773.58 / $1,773.58	Facility		$1,773.58	$1,773.58	$1,773.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $175.11 / $175.11 / $175.11	Facility	AS	$175.11	$175.11	$175.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,892.40	Facility		$55.00	$55.00	$8,892.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $349.21 / $717.09 / $770.08	Facility	AS	$349.21	$717.09	$770.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,442.59 / $1,850.62 / $3,151.88	Facility		$1,442.59	$1,850.62	$3,151.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,454.52 / $1,908.58 / $3,231.32	Facility		$1,454.52	$1,908.58	$3,231.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $175.11 / $175.11 / $505.85	Facility	AS	$175.11	$175.11	$505.85
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