Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,816.00 / $8,002.00	Facility		$669.00	$2,816.00	$8,002.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.27 / $4,144.00 / $8,384.57	Facility		$2,310.27	$4,144.00	$8,384.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $457.89 / $462.25	Facility		$80.00	$457.89	$462.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.41 / $565.41 / $565.41	Facility		$565.41	$565.41	$565.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.11 / $56.11 / $56.11	Facility	AS	$56.11	$56.11	$56.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.20 / $11,500.00 / $16,394.00	Facility		$1,862.20	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $115.43 / $849.00 / $849.00	Facility	AS	$115.43	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.88 / $645.69 / $1,008.00	Facility		$486.88	$645.69	$1,008.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.88 / $647.01 / $1,019.00	Facility		$486.88	$647.01	$1,019.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.11 / $56.11 / $159.22	Facility	AS	$56.11	$56.11	$159.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00