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 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $960.51 / $1,606.65 / $7,973.38	Facility		$960.51	$1,606.65	$7,973.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $858.32 / $876.95	Facility		$80.00	$858.32	$876.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,082.47 / $1,082.47 / $1,082.47	Facility		$1,082.47	$1,082.47	$1,082.47
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $106.37 / $106.37 / $106.37	Facility	AS	$106.37	$106.37	$106.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,480.10	Facility		$55.00	$55.00	$5,480.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $216.57 / $440.52 / $479.09	Facility	AS	$216.57	$440.52	$479.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $931.73 / $1,217.42 / $1,923.48	Facility		$931.73	$1,217.42	$1,923.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $931.73 / $1,219.08 / $1,927.65	Facility		$931.73	$1,219.08	$1,927.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $106.37 / $106.37 / $311.79	Facility	AS	$106.37	$106.37	$311.79
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