Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,174.00 / $11,453.00	Facility		$872.00	$3,174.00	$11,453.00
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $234.04 / $234.04 / $234.04	Facility	AS	$234.04	$234.04	$234.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.12 / $9,032.74 / $18,424.41	Facility		$5,264.12	$9,032.74	$18,424.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,023.11 / $6,466.60 / $6,466.60	Facility		$1,023.11	$6,466.60	$6,466.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.92 / $1,269.92 / $1,269.92	Facility		$1,269.92	$1,269.92	$1,269.92
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.27 / $126.27 / $126.27	Facility	AS	$126.27	$126.27	$126.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,176.96 / $26,268.80 / $26,542.00	Facility		$4,176.96	$26,268.80	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $256.75 / $2,489.91 / $2,489.91	Facility	AS	$256.75	$2,489.91	$2,489.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,073.99 / $1,448.91 / $2,233.26	Facility		$1,073.99	$1,448.91	$2,233.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,085.34 / $1,451.66 / $2,311.66	Facility		$1,085.34	$1,451.66	$2,311.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $126.27 / $126.27 / $365.30	Facility	AS	$126.27	$126.27	$365.30
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