Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,570.00 / $10,836.00	Facility		$803.00	$3,570.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.10 / $8,853.29 / $17,750.45	Facility		$4,606.10	$8,853.29	$17,750.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $488.74 / $5,376.95 / $5,376.95	Facility		$488.74	$5,376.95	$5,376.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.16 / $611.16 / $611.16	Facility		$611.16	$611.16	$611.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $60.51 / $60.51 / $60.51	Facility	AS	$60.51	$60.51	$60.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,025.38 / $19,913.50 / $26,542.00	Facility		$3,025.38	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $123.16 / $1,887.52 / $1,887.52	Facility	AS	$123.16	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.85 / $685.97 / $1,125.18	Facility		$524.85	$685.97	$1,125.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.85 / $686.36 / $1,170.55	Facility		$524.85	$686.36	$1,170.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $60.51 / $60.51 / $174.51	Facility	AS	$60.51	$60.51	$174.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00