Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $2,229.00 / $6,189.00	Facility		$661.00	$2,229.00	$6,189.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,785.56 / $8,972.92 / $18,065.49	Facility		$4,785.56	$8,972.92	$18,065.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $568.04 / $575.37	Facility		$80.00	$568.04	$575.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.54 / $1,051.54 / $1,051.54	Facility		$1,051.54	$1,051.54	$1,051.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $105.15 / $105.15 / $105.15	Facility	AS	$105.15	$105.15	$105.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,897.76 / $11,500.00 / $16,394.00	Facility		$2,897.76	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $284.14 / $311.83 / $311.83	Facility	AS	$284.14	$311.83	$311.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.16 / $847.04 / $1,327.88	Facility		$630.16	$847.04	$1,327.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.16 / $851.47 / $1,359.20	Facility		$630.16	$851.47	$1,359.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $105.15 / $105.15 / $267.45	Facility	AS	$105.15	$105.15	$267.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,019.00 / $16,000.00	Facility		$2,605.00	$7,019.00	$16,000.00