Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $3,339.00 / $11,453.00	Facility		$789.00	$3,339.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,383.76 / $9,391.66 / $19,142.24	Facility		$5,383.76	$9,391.66	$19,142.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $661.57 / $671.79	Facility		$80.00	$661.57	$671.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $846.52 / $846.52 / $846.52	Facility		$846.52	$846.52	$846.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $84.30	Facility	AS	$84.30	$84.30	$84.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,441.85 / $26,542.00 / $27,026.50	Facility		$3,441.85	$26,542.00	$27,026.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $167.95 / $2,561.73 / $2,561.73	Facility	AS	$167.95	$2,561.73	$2,561.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $722.11 / $941.75 / $1,550.00	Facility		$722.11	$941.75	$1,550.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $722.11 / $955.02 / $1,647.92	Facility		$722.11	$955.02	$1,647.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $246.05	Facility	AS	$84.30	$84.30	$246.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00