Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $2,960.00 / $10,234.00	Facility		$872.00	$2,960.00	$10,234.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,891.10 / $9,092.56 / $18,364.59	Facility		$4,891.10	$9,092.56	$18,364.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $953.16 / $969.06	Facility		$80.00	$953.16	$969.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.83 / $1,191.83 / $1,191.83	Facility		$1,191.83	$1,191.83	$1,191.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $118.18	Facility	AS	$118.18	$118.18	$118.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,905.52 / $19,913.50 / $26,542.00	Facility		$3,905.52	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $239.09 / $1,887.52 / $1,887.52	Facility	AS	$239.09	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,005.00 / $1,308.83 / $2,008.19	Facility		$1,005.00	$1,308.83	$2,008.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,005.00 / $1,329.05 / $2,130.06	Facility		$1,005.00	$1,329.05	$2,130.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $330.68	Facility	AS	$118.18	$118.18	$330.68
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