Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,213.00 / $10,893.00	Facility		$797.00	$3,213.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,541.20 / $9,044.04 / $18,185.13	Facility		$4,541.20	$9,044.04	$18,185.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $753.64 / $7,524.37 / $7,524.37	Facility		$753.64	$7,524.37	$7,524.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.19 / $932.19 / $932.19	Facility		$932.19	$932.19	$932.19
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.87 / $92.87 / $92.87	Facility	AS	$92.87	$92.87	$92.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,845.75 / $25,287.75 / $26,542.00	Facility		$3,845.75	$25,287.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.64 / $2,396.92 / $2,396.92	Facility	AS	$187.64	$2,396.92	$2,396.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $789.93 / $1,019.72 / $1,607.25	Facility		$789.93	$1,019.72	$1,607.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $797.43 / $1,028.76 / $1,647.44	Facility		$797.43	$1,028.76	$1,647.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.87 / $92.87 / $268.32	Facility	AS	$92.87	$92.87	$268.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,600.00	Facility		$1,693.00	$5,210.00	$10,600.00