Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,102.00 / $10,836.00	Facility		$797.00	$3,102.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $4,243.05 / $8,384.57	Facility		$2,354.21	$4,243.05	$8,384.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $778.45 / $784.08	Facility		$80.00	$778.45	$784.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.58 / $1,427.58 / $1,427.58	Facility		$1,427.58	$1,427.58	$1,427.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $142.76 / $142.76 / $142.76	Facility	AS	$142.76	$142.76	$142.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,954.20 / $11,500.00 / $26,542.00	Facility		$3,954.20	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $387.54 / $428.99 / $428.99	Facility	AS	$387.54	$428.99	$428.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $847.42 / $1,116.01 / $1,820.80	Facility		$847.42	$1,116.01	$1,820.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $850.24 / $1,122.93 / $1,863.14	Facility		$850.24	$1,122.93	$1,863.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $142.76 / $142.76 / $344.44	Facility	AS	$142.76	$142.76	$344.44
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