Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $3,504.00 / $12,281.00	Facility		$893.00	$3,504.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,229.48 / $8,793.46 / $15,732.53	Facility		$3,229.48	$8,793.46	$15,732.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $593.98 / $602.87	Facility		$80.00	$593.98	$602.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.76 / $738.76 / $738.76	Facility		$738.76	$738.76	$738.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.37 / $73.37 / $73.37	Facility	AS	$73.37	$73.37	$73.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,049.05 / $25,746.50 / $26,542.00	Facility		$3,049.05	$25,746.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $148.41 / $2,440.41 / $2,440.41	Facility	AS	$148.41	$2,440.41	$2,440.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $626.80 / $808.95 / $1,326.34	Facility		$626.80	$808.95	$1,326.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.80 / $813.89 / $1,376.40	Facility		$626.80	$813.89	$1,376.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $73.37 / $73.37 / $210.01	Facility	AS	$73.37	$73.37	$210.01
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