Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $3,511.00 / $10,520.00	Facility		$906.00	$3,511.00	$10,520.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,656.37 / $9,032.74 / $17,886.03	Facility		$4,656.37	$9,032.74	$17,886.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $620.17 / $629.13	Facility		$80.00	$620.17	$629.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.24 / $772.24 / $772.24	Facility		$772.24	$772.24	$772.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.84 / $76.84 / $76.84	Facility	AS	$76.84	$76.84	$76.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,186.65 / $19,913.50 / $26,542.00	Facility		$3,186.65	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $155.32 / $1,887.52 / $1,887.52	Facility	AS	$155.32	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $657.48 / $849.56 / $1,395.00	Facility		$657.48	$849.56	$1,395.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $657.57 / $856.48 / $1,441.50	Facility		$657.57	$856.48	$1,441.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $76.84 / $76.84 / $220.38	Facility	AS	$76.84	$76.84	$220.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00