Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,281.00	Facility		$921.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.10 / $9,092.56 / $17,660.22	Facility		$4,606.10	$9,092.56	$17,660.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.61 / $57.61 / $680.46	Facility		$57.61	$57.61	$680.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.89 / $845.89 / $845.89	Facility		$845.89	$845.89	$845.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.22 / $84.22 / $84.22	Facility	AS	$84.22	$84.22	$84.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,492.45 / $19,913.50 / $26,542.00	Facility		$3,492.45	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $169.76 / $1,887.52 / $1,887.52	Facility	AS	$169.76	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $721.70 / $935.29 / $1,483.45	Facility		$721.70	$935.29	$1,483.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $721.70 / $940.87 / $1,503.14	Facility		$721.70	$940.87	$1,503.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.22 / $84.22 / $241.57	Facility	AS	$84.22	$84.22	$241.57
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