Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.91 / $3,682.00 / $12,941.00	Facility		$726.91	$3,682.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $609.16 / $1,004.19 / $3,291.51	Facility		$609.16	$1,004.19	$3,291.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $539.88 / $558.73	Facility		$80.00	$539.88	$558.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $671.22 / $671.22 / $671.22	Facility		$671.22	$671.22	$671.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $65.95 / $65.95 / $65.95	Facility	AS	$65.95	$65.95	$65.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,320.00	Facility		$55.00	$55.00	$3,320.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $129.66 / $268.70 / $284.64	Facility	AS	$129.66	$268.70	$284.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $569.60 / $785.19 / $1,250.68	Facility		$569.60	$785.19	$1,250.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.60 / $785.19 / $1,284.55	Facility		$569.60	$785.19	$1,284.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $65.95 / $65.95 / $192.10	Facility	AS	$65.95	$65.95	$192.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00