Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,925.00 / $11,348.00	Facility		$983.00	$3,925.00	$11,348.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.12 / $9,391.66 / $18,364.59	Facility		$5,264.12	$9,391.66	$18,364.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $740.01 / $751.30	Facility		$80.00	$740.01	$751.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $924.41 / $924.41 / $924.41	Facility		$924.41	$924.41	$924.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.20 / $92.20 / $92.20	Facility	AS	$92.20	$92.20	$92.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,807.35 / $19,913.50 / $26,542.00	Facility		$3,807.35	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $185.56 / $1,887.52 / $1,887.52	Facility	AS	$185.56	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $781.67 / $994.86 / $1,691.18	Facility		$781.67	$994.86	$1,691.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $782.66 / $1,002.67 / $1,766.13	Facility		$782.66	$1,002.67	$1,766.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.20 / $92.20 / $264.39	Facility	AS	$92.20	$92.20	$264.39
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