Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,219.00 / $11,453.00	Facility		$788.00	$3,219.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,486.46 / $8,972.92 / $17,886.03	Facility		$4,486.46	$8,972.92	$17,886.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $689.14 / $699.32	Facility		$80.00	$689.14	$699.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.08 / $854.08 / $854.08	Facility		$854.08	$854.08	$854.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.56 / $84.56 / $84.56	Facility	AS	$84.56	$84.56	$84.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,523.85 / $26,542.00 / $26,830.65	Facility		$3,523.85	$26,542.00	$26,830.65
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.03 / $2,543.17 / $2,543.17	Facility	AS	$172.03	$2,543.17	$2,543.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $732.39 / $952.60 / $1,507.25	Facility		$732.39	$952.60	$1,507.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.86 / $957.35 / $1,530.97	Facility		$733.86	$957.35	$1,530.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.56 / $84.56 / $238.51	Facility	AS	$84.56	$84.56	$238.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,600.00	Facility		$1,693.00	$5,210.00	$10,600.00