Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,647.00 / $12,377.00	Facility		$923.00	$3,647.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,539.42 / $4,352.55 / $8,431.35	Facility		$2,539.42	$4,352.55	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $740.72 / $752.23	Facility		$80.00	$740.72	$752.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $920.67 / $920.67 / $920.67	Facility		$920.67	$920.67	$920.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $91.49 / $91.49 / $91.49	Facility	AS	$91.49	$91.49	$91.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,799.80 / $11,500.00 / $26,542.00	Facility		$3,799.80	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $185.02 / $849.00 / $849.00	Facility	AS	$185.02	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.12 / $974.04 / $1,557.43	Facility		$775.12	$974.04	$1,557.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.12 / $991.79 / $1,593.95	Facility		$775.12	$991.79	$1,593.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $91.49 / $91.49 / $261.55	Facility	AS	$91.49	$91.49	$261.55
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