Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,601.00 / $12,480.00	Facility		$935.00	$3,601.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $978.52 / $1,650.77 / $8,410.90	Facility		$978.52	$1,650.77	$8,410.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $854.36 / $874.75	Facility		$80.00	$854.36	$874.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.72 / $1,094.72 / $1,094.72	Facility		$1,094.72	$1,094.72	$1,094.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $108.42 / $108.42 / $108.42	Facility	AS	$108.42	$108.42	$108.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,622.08	Facility		$55.00	$55.00	$6,622.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $217.82 / $443.85 / $480.79	Facility	AS	$217.82	$443.85	$480.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $943.42 / $1,348.96 / $2,129.86	Facility		$943.42	$1,348.96	$2,129.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $943.42 / $1,373.39 / $2,178.17	Facility		$943.42	$1,373.39	$2,178.17
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $108.42 / $108.42 / $313.20	Facility	AS	$108.42	$108.42	$313.20
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