Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.33 / $3,522.00 / $10,508.00	Facility		$786.33	$3,522.00	$10,508.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,600.58 / $4,359.97 / $8,384.57	Facility		$2,600.58	$4,359.97	$8,384.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $538.51 / $3,634.58 / $3,634.58	Facility		$538.51	$3,634.58	$3,634.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.94 / $669.94 / $669.94	Facility		$669.94	$669.94	$669.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.47 / $66.47 / $66.47	Facility	AS	$66.47	$66.47	$66.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,316.62 / $11,500.00 / $26,542.00	Facility		$3,316.62	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $134.88 / $849.00 / $849.00	Facility	AS	$134.88	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $569.55 / $743.25 / $1,212.67	Facility		$569.55	$743.25	$1,212.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.17 / $743.25 / $1,265.86	Facility		$570.17	$743.25	$1,265.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $66.47 / $66.47 / $190.90	Facility	AS	$66.47	$66.47	$190.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,563.00 / $7,122.00 / $16,000.00	Facility		$2,563.00	$7,122.00	$16,000.00