Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,224.00 / $11,453.00	Facility		$767.00	$3,224.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,307.00 / $9,032.74 / $17,826.21	Facility		$4,307.00	$9,032.74	$17,826.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $602.46 / $611.91	Facility		$80.00	$602.46	$611.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.29 / $750.29 / $750.29	Facility		$750.29	$750.29	$750.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.48 / $74.48 / $74.48	Facility	AS	$74.48	$74.48	$74.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,097.05 / $19,913.50 / $26,542.00	Facility		$3,097.05	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.63 / $1,887.52 / $1,887.52	Facility	AS	$150.63	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.88 / $826.31 / $1,277.41	Facility		$636.88	$826.31	$1,277.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.88 / $842.24 / $1,321.03	Facility		$636.88	$842.24	$1,321.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $74.48 / $74.48 / $213.28	Facility	AS	$74.48	$74.48	$213.28
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