Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $3,522.00 / $10,660.82	Facility		$799.00	$3,522.00	$10,660.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,243.05 / $8,384.57	Facility		$2,436.33	$4,243.05	$8,384.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $474.92 / $2,433.91 / $2,433.91	Facility		$474.92	$2,433.91	$2,433.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.27 / $599.27 / $599.27	Facility		$599.27	$599.27	$599.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $59.43 / $59.43 / $59.43	Facility	AS	$59.43	$59.43	$59.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,976.52 / $11,500.00 / $26,542.00	Facility		$1,976.52	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $121.02 / $849.00 / $849.00	Facility	AS	$121.02	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $506.95 / $655.70 / $1,141.58	Facility		$506.95	$655.70	$1,141.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.88 / $661.58 / $1,170.74	Facility		$507.88	$661.58	$1,170.74
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $59.43 / $59.43 / $169.71	Facility	AS	$59.43	$59.43	$169.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00